Transcript Highlights:

• AB 2575 is about accountability, transparency, and patient safety.
• Sometimes that’s exactly what the patient needs.
• Nurses must be able to evaluate a sepsis alert against the patient in front of us.
• It also creates an incentive for them to develop the safest products that avoid patient harm.
• Hospitals are already deploying these tools to protect patients.

Summary: The committee heard several bills focused on public safety, labor enforcement, pensions, and workplace safety. AB 1054 would create a voluntary DROP-style retirement option for CHP officers and Cal Fire firefighters to help retain experienced personnel; supporters said it would be cost-neutral and help staffing, while an opponent warned it could affect bond ratings and create pension risk. The bill passed the committee 4-0 and was sent to Appropriations. AB 2129, which would improve Cal Fire compensation to aid recruitment and retention, also passed 4-0 to Appropriations with support from firefighters and no opposition. AB 1383, a broader PEPRA-related measure lowering retirement age and adjusting compensation caps for public safety workers, drew extensive support from firefighters and peace officers and strong opposition from cities, counties, and other local government groups over long-term pension costs; after debate over fiscal impacts, it passed 4-0 to Appropriations. The committee also considered AB 605 on refinery safe staffing during shutdowns, prompted by layoffs and reduced staffing at refineries such as Phillips 66 Wilmington. Supporters argued the bill would protect workers and nearby communities during refinery wind-downs, while petroleum and business groups said closures are not inevitable and opposed the bill’s premise. The bill passed 3-0 to Environmental Quality. AB 1859 would let joint labor-management committees access public works sites to help detect wage theft and safety violations; construction labor supporters backed it as an enforcement tool, while laborers, local governments, and builders raised concerns about duplication, property access, and project disruption. It passed 2-0 to Judiciary, on call. The committee then heard AB 2321, a pilot program allowing county district attorneys in Alameda and Santa Clara to investigate workplace deaths, which supporters said would address Cal/OSHA’s backlog and weak enforcement; employers and safety practitioners opposed it, citing expertise, due process, and overlapping investigations. It passed 2-0 to Appropriations, on call. Finally, AB 2575 began testimony on healthcare AI guardrails, with the author and nurses arguing that AI should support, not replace, clinical judgment and that patient safety requires human oversight.

Transcript Highlights:

• Well, medical advancements have led to 87% of young adult cancer patients surviving their diagnosis.
• As a health care professional, we know that we have to approach patients in a very holistic manner.
• As I've said previously, my preference, and I believe the preference of the Senate, is to focus on a
• Actually, Senator Burton, I would prefer it if you could come over here so I can use you.
• It would require detailed follow-up plans... ...for behavioral health patients.

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several recognitions, including guests from Miami Northwestern Senior High School, Clay County, and others. Senators also observed a moment of silence for Pope Francis. After routine announcements, the chamber moved to the special order calendar and took up a long series of bills, often substituting House companions for Senate bills before final passage. Among the measures approved were bills creating an expedited DNA testing grant program for local law enforcement, adding aggravating factors in capital cases involving gatherings for religious, school, or government activities, requiring state health coverage for fertility preservation services for cancer patients, authorizing indemnification for commuter rail providers, prohibiting abandonment of migrant vessels in Florida waters, and creating new specialty license plates. The Senate also passed bills on Alzheimer’s awareness, relocating the Council on the Social Status of Black Men and Boys to Florida Memorial University, charter schools, sex offender registration, utility worker protections, juvenile justice, student mental health reporting, foster home licensure transfers, water access facilities, Florida Virtual School, school readiness, sexual images involving children, tampering with electronic monitoring devices, certified recovery residences, the FSU Election Law Center, the Office of Faith and Community, and bonuses for county property appraiser employees. Several other bills were temporarily postponed, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, officers injured in the line of duty, school social workers, and Brownfields. Debate was especially extensive on the Office of Faith and Community bill, where an amendment to bar political activity by office staff was offered but failed 13-23 after arguments over election-related communications and the scope of existing law. The certified recovery residences bill also drew notable debate, with supporters emphasizing housing as essential to recovery and opponents raising concerns about implementation and local control. Most other bills passed with little or no opposition, though a few drew dissenting votes, including the capital aggravating factors bill, charter schools, and the Office of Faith and Community measure.

Transcript Highlights:

• The first portion amends Florida's Patients' Bill of Rights to provide that a patient shall not be denied
• get access to those patient portals.
• Does a patient representative have to be a lawyer?
• another person to take care of this for the patient.
• We usually think patient, but a patient is actually defined as a client in 408.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, a resolution honoring Vietnam veterans exposed to Agent Orange, and a remembrance of former Senator Karen Johnson Gendron. The chamber then moved to special order bills. CS/HB 687 on transportation offenses involving death was substituted for SB 138, amended to add warnings and penalties for refusal of breath or urine tests, and passed 37-0. CS/SB 306 on Medicaid providers, requiring broader after-hours access and network availability for Medicaid enrollees, also passed 37-0. The Senate then took up CS/CS/HB 913 on condominium associations, a major post-Surfside reform bill. Senator Bradley explained that the measure was intended to provide financial relief and flexibility while preserving safety and accountability. The bill was substituted for SB 1742, amended several times to limit milestone inspections and structural integrity reserve studies to buildings three habitable stories or more, and then passed 37-0 after extensive debate. Senators from both parties praised Bradley, Pizzo, Garcia, and staff for years of work on condo safety and affordability, with several members describing the bill as a balance between protecting residents and avoiding financial hardship. The final major item was CS/HB 1205, the bill on amendments to the state constitution and citizen petition drives. Sponsors Gates and Grohl argued the bill was needed to combat fraud, identity theft, and misuse in the petition process, citing a lengthy Office of Election Crimes and Security report. The House bill was substituted for SB 7016, and the chamber considered a long series of amendments and substitute amendments addressing petition circulator registration, volunteer participation, submission deadlines, invalid-signature thresholds, voter notification, and fiscal impact statements. Several amendments were adopted, while others were debated over whether they would protect access to the citizen initiative process or strengthen election integrity. The transcript ends during debate on the main substitute amendment, before final disposition on the bill is shown.

Transcript Highlights:

• Basically, it's also patient choice, right?
• You're allowing the patient to choose where they want to have their tonsillectomy, et cetera.
• The patient has to choose where they're going.
• Largely by keeping patients healthier and out of the hospitals, through proactive, keeping patients healthier
• It's an attempt to get patients more access to generics. There is an amendment.

Bills: HB165 , HB175 , HB198 , HB272 , HB457 , HB488 , HB566 , HB603 , HB763 , HB902 , HB909 , HB971 , HB981 , HB1066 , HB1125 , HB1154 , HB1231

Committee: House Appropriations

Transcript Highlights:

• Okay, it's up to your preference? Go back to Becker now? Becker's available. Okay.
• It's up to your preference? Chairman? Yeah. Okay.
• If a physician's own family cannot tell the difference, how can we expect our patients to?
• Patients, especially older adults and those with chronic conditions, are being targeted and misled.
• At its core, this bill is about protecting patients and preserving trust in health information.

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:

• On the dollar number or the patient number? Patient number, yes.
• </c> &gt;&gt; Patient number, yes. &gt;&gt; Patient number, yes.
• </c> new patients between the two firms. new patients between the two firms.
• This service is it provided solely to indigent patients or Medicaid patients? >> I believe so.
• </c> the medical decision for the patient. the medical decision for the patient.

Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.

Transcript Highlights:

• And I learned from my medical training and those of my patients how wreaking havoc daylight saving time
• Therefore, I urge that you say yes to SB 1197 so that we can help both the patients and myself achieve
• Unfortunately, in this particular case, I'm actually one who prefers more daylight saving time.
• I have said what my preference is, and you have shared an openness either way.
• And basically that's where people come down on what they prefer.

Committee: Senate Energy, Utilities and Communications

Summary: The committee heard several energy, telecommunications, and regulatory bills. SB 929 by Senator Jones would require the California Energy Commission chair to appear annually and report to the Legislature on the commission’s activities, plans, and outreach; it was presented as a low-cost oversight measure and drew no opposition. SB 1138 by Senator Padilla would let load-serving entities trade hourly resource adequacy obligations under the CPUC’s slice-of-day framework to reduce overprocurement and lower ratepayer costs; supporters said it could save tens of millions of dollars, while questions focused on reliability and whether savings would reach customers. SB 913 by Senator Becker would create a clearer pathway for customer-sited distributed energy resources, such as home batteries and smart thermostats, to participate in resource adequacy markets; supporters said it would unlock existing clean capacity and reduce costs, and members asked about reliability, opt-in participation, and compensation for homeowners. The committee also heard SB 1197 by Senator Niello, which would move California to permanent standard time if federal law allows, with testimony from a sleep medicine physician supporting the health and safety benefits of ending the time switch and opposition from golf industry representatives who urged a broader analysis of economic, recreational, and public safety impacts. Members debated whether the 2018 voter approval required another vote and whether Congress would need to act. SB 1265 by Senator Richardson would codify and expand the Go Green financing program by creating a new fund and allowing broader partnerships beyond current IOU service areas; supporters said it would expand access to clean energy financing statewide. SB 1337 by Senator Richardson would create a working group to coordinate fuel transition policy and refinery-related issues following SB 237, with supporters emphasizing the need for better interagency coordination and some members asking how it would avoid duplicative work. The committee also considered SB 1191 by Senator Ochoa Bogh, which would extend the California High-Cost Fund A and B programs for rural telephone service through 2033; supporters said the surcharge-funded program is essential for affordable service and emergency connectivity in remote areas. After discussion, the committee adopted amendments where offered and voted all of the bills out of committee, generally on unanimous or near-unanimous votes, with SB 1265 receiving one no vote. Several bills were held on call briefly and then later passed when the committee reconvened, and the hearing adjourned after all listed measures were reported out.

Transcript Highlights:

• Therefore, I urge that you say yes to SB 1197 so that we can help both the patients and myself achieve
• Unfortunately, in this particular case, I'm actually one who prefers more daylight saving time.
• I have said what my preference is, and you have shared an openness either way.
• What my preference is, and you have shared an openness either way, but the congressional issue seems
• Basically, that's where people come down on what they prefer.

Committee: Senate Energy, Utilities and Communications

Transcript Highlights:

• The first portion amends Florida's Patients Bill of Rights to provide that a patient shall not be deemed
• The first portion amends Florida's Patients Bill of Rights to provide that a patient shall not be deemed
• get access to those patient portals.
• Does a patient representative have to be a lawyer?
• , but a patient is actually defined as a client in 408.

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• protection and to minimize patient harm.
• and ensure quality patient care.
• As far as patient, what the patient is required to pay, that has nothing to do with us, honestly.
• When we're looking at patient care, we do require us to look at these patients up to 30 days after any
• Patients must have a primary care physician, and we must inform them of any new medication. ...patients

Bills: SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721

Committee: House Public Health

Transcript Highlights:

• My fellow New Mexican transplant patients who did not have access to PFML, who, like me, struggle to
• LLS represents thousands of blood cancer patients in New Mexico and their families.
• House Bill 11 will directly improve the quality of life for our patients.
• Please help us make a difference for cancer patients by voting yes. Thank you.
• I would prefer not to, but there's no guarantee that Representative Cates' bill will pass.

Committee: House House Health & Human Services

Transcript Highlights:

• It protects patients from coercion.
• It is the patient, and what the patient believes is an acceptable use of their health data.
• The patient hasn't been to my office yet, so I have no written consent yet from the patient.
• The patient hasn't been to my office yet, so I have no written consent yet from the patient.
• The patient hasn't been to my office yet, so I have no written consent yet from the patient. patient

Committee: House Health and Mental Health

Transcript Highlights:

• It requires specified training and protocols to screen a patient when the patient is admitted to a hospital
• It requires specified training and protocols to screen a patient when the patient is admitted to a hospital
• We rely on our physicians to do what's right for their patients, for our residents.
• The amendment reduces the number of active patients from 500 to 300. Questions?
• These patients are getting off the drugs. They're tested usually every single day.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• And may Your love, the kind that serves, is patient and kind, not self-seeking, and not easily angered
• Opportunity to elect their preferred candidate when compared to the current CD 29.
• Are you aware that data scientists can calculate the preferred...
• Prefers Democrats in elections?
• Hispanic voters can elect their preferred candidate to Congress in this newly drawn CD35?

Bills: SB 2 , SB 5 , SB 9 , SB 7 , SB 17 , SB 4 , HB4 , HB1 , HB3 , HB20 , HB22 , SB9 , SB7 , SB17 , SB4 , HB4 , SB2 , SB5

Transcript Highlights:

• What happened after session is the language was written with the word patient, and patient is applicable
• </c><00:20:49.400><c> in</c> patient and patient is applicable in patient and patient is applicable in
• So, of course, this is not the preferred outcome for anyone, and we all know mistakes happen, and we
• </c><00:54:40.760><c> outcome</c><00:54:41.119><c> for</c> this is not the preferred outcome for this
• </c><00:57:26.280><c> to</c> that said the county quote preferred to that said the county quote preferred

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

Committee: House Human Services Finance and Policy

Transcript Highlights:

• The patient shall receive a copy of their patient rights with written consent a receipt.
• It says if a patient and provider decide to enter.
• to direct those patients in a way.
• And so this reward rewards both the insurer and the patient when the patient does go out of their way
• of services, but lower health care costs. patients, patients would become chronic savers.

Bills: SB437 , SB528 , SB626 , SB636 , SB884 , SB968 , SB1044 , SB1608 , SB2336

Committee: Senate Health & Human Services

Transcript Highlights:

• If patient identification or if patient information is de-identified, how can you bring a cause of action
• It protects patients from coercion.
• It is the patient, and what the patient believes is an acceptable use of their health data.
• in the confines... ...of the patient-doctor relationship, that is a benefit to both the patient and
• The patient hasn't been to my office yet, so I have no written consent yet from the patient.

Committee: House Health and Mental Health

Summary: The Committee on Health and Mental Health heard testimony on several bills. Senate Bill 1019, sponsored by Sen. Crawford, would let district and municipal hospitals invest up to 50% of non-operating funds, up from 25%, and would also allow municipal hospitals in third-class cities to operate in areas where hospital district and county hospitals operate. The sponsor and a hospital representative said it would improve returns and rural access; there was no opposition, and the hearing closed without questions. House Bill 2606, sponsored by Rep. Caton, would give patients stronger control over their health records by requiring informed consent before providers or medical entities sell or disclose information for marketing or research, with civil remedies and damages for violations. Supporters argued it restores patient ownership, strengthens privacy beyond HIPAA, and closes loopholes, citing Minnesota’s law as a model. Opponents, including the Missouri Hospital Association, Missouri State Medical Association, Washington University, and the Missouri Ambulance Association, warned it could disrupt care coordination, quality improvement, research using de-identified data, and data reporting obligations, and could create administrative burdens and lawsuits. The Secretary of State’s office said it wanted an amendment so records could still be used 50 years after a patient’s death for archival and genealogy purposes. House Bill 1638, sponsored by Rep. Overcast, would extend the Alzheimer’s State Plan Task Force to 2033, add an assisted living facility representative, create staggered terms, remove Senate confirmation requirements, and require updated reports every five years. The sponsor and the Alzheimer’s Association said the task force has been delayed by appointment problems and needs to be fully staffed to continue its work. The committee also discussed the task force’s prior incomplete staffing and the need for continuity, and the hearing concluded with no opposition.

Transcript Highlights:

• To better define the pain and suffering by the patient; two, to remove the stigma and to allow access
• The patient's guardian may request that the patient be independently evaluated and file an application
• Family preference.
• If the application for continuing court-ordered treatment is granted, the court must order the patient
• That's why we feel so importantly that we need this option for the sickest patients who need ongoing

Summary: The Judiciary and Elections Committee approved the January 21, 2026 minutes and held SB 1208. It then heard SB 1211, which would allow victims of felony aggravated harassment involving domestic violence to seek a lifetime injunction against a convicted defendant. Supporters from victim advocacy organizations and a survivor described the bill as an important safety measure that would reduce repeated court appearances and trauma. The committee voted 7-0 to give SB 1211 a do pass recommendation. The committee next considered SB 1239, which removes the statute of limitations for failing to register as a sex offender or providing false registration information. The sponsor said the bill closes a public-safety loophole and was requested by DPS, while opponents argued existing warrant procedures already address the issue and raised due process concerns. After discussion, the committee voted 4-3 to recommend SB 1239 do pass. SB 1240 would exclude probationers convicted of dangerous crimes against children from the probation incentive payment formula. The sponsor tied the bill to a recent child sexual assault case and said the change would keep those cases separate from probation performance incentives; defense attorneys warned it could discourage treatment and push more people into prison. The committee voted 4-3 to recommend SB 1240 do pass. The committee also heard and approved SB 1095, as amended, which bans gender transition procedures and referrals for minors and restricts public funding and facilities for such care; supporters called it necessary child protection, while opponents said it was discriminatory. The committee then heard SB 1243 and SB 1244, both related to court-ordered mental health treatment. SB 1243 adds notice to guardians and lets them seek continued treatment, while SB 1244 creates a continuing court-ordered treatment process after repeated annual reviews. Supporters, including family members of seriously mentally ill patients, said the bills would close gaps and prevent dangerous lapses in care; opponents raised due process concerns and warned about expanded involuntary treatment. Both bills received do pass recommendations, with SB 1243 passing 7-0 and SB 1244 passing after amendment and roll call vote.

Transcript Highlights:

• </c><00:44:23.600><c> in</c> to be taken for the for the patients in to be taken for the for the patients
• </c><01:09:07.040><c> not</c> and, you know, some of the patients not and, you know, some of the patients
• Um, and the patients are Medicaid-eligible patients, and there's a capitated rate.
• But for someone that uses it, patients for the utilization for that patient is high. Yeah.
• ,</c><01:42:16.440><c> accommodations</c> offer rides for patients, accommodations offer rides for patients

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• This is a hindrance to patient care slots because you can only treat one thing, and so patients have
• care... providers, we can only see a patient for providers, we can only see a patient for one<00:14:
• It requires multiple patient care thing. It requires multiple patient care slots. slots. slots.
• </c> we don't have enough patient care slots. we don't have enough patient care slots.
• </c><00:16:06.639><c> care</c> This is a hindrance to patient care This is a hindrance to patient care

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.