Transcript Highlights:

• Through her platform, she provides practical tools that support nutrition, physical activity, confidence
• It's an act to amend Title 22 relative to pharmacy benefit managers to provide for definitions and provide
• for pharmacy reimbursements.

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• Through her platform, she provides practical tools that support nutrition, physical activity, confidence
• It's an act to amend Title 22 relative to pharmacy benefit managers to provide for definitions and provide
• for pharmacy reimbursements.

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.

Transcript Highlights:

• So, in your conversations as you've developed this legislation, have you tried to identify best practices
• Sector in trying to practically and responsibly solve these problems in our respective communities.
• It is bringing paralysis, which is already allowed under statute, and allows the paralysis practice to

Bills: HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199

Keywords: reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights

Bills: HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199

Keywords: reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights

Transcript Highlights:

• So to address that part of what we've been doing is systematizing our monitoring practice.
• <00:10:36.240> or practice or practice or >> charter<00:10:38.000> schools<00:10:
• So each school our monitoring practice.
• <00:12:58.160> for boards on what good practices for boards on what good practices for governing
• We probably have started that maybe more on the I want to say administrative and practical side.

Keywords: 912, senate, all

Transcript Highlights:

• <01:14:45.200> Is licensed pharmacy. That is correct. Is licensed pharmacy.
• Um, and it also includes not only a registered pharmacy tech, but also a registered pharmacy intern.
• <01:19:16.560> uh like not appropriate for a pharmacy uh like not appropriate for a pharmacy
• I can tell you practiced. Thank you."
• I can tell you practiced. Thank tell. I can tell you practiced.

Keywords: House streaming session for Monday, March 23, 2026, 957, house, all

Summary: The House convened with 129 members present, read the prior journal, and then took up a series of third-reading bills. Early action included unanimous passage of HB 159 (mail theft), HB 412 (child support and driver’s license suspension), HB 912 (trap-neuter-return policies for community cats), HB 914 (Worcester County Board of License Commissioners membership), HB 558 (Prince George’s County wine festival licenses), HB 1400 (shellfish aquaculture penalties), and HB 1463 (Anne Arundel County Board of Education constituent services liaison). HB 582, dealing with Prince George’s County alcoholic beverages licenses and voter registration requirements, drew brief debate over whether it removed or retained a voter registration condition; it ultimately passed 119-12. HB 846, a property tax exemption for the Hagerstown multi-use sports and events facility, passed 126-7 after a system delay interrupted proceedings. Several bills prompted more substantive discussion. HB 1218, the Safe and Healthy Homes for All Act, drew opposing explanations over a proposed public registry of properties with housing violations; supporters said it would help identify serious housing problems and improve compliance, while opponents objected to publicly naming private properties based on administrative findings. It passed 99-36. HB 525, the Maryland Phone-Free Schools Act, passed 135-1 after questions about enforcement, with supporters comparing it to ordinary classroom discipline. HB 1483, allowing out-of-state clinical professional counseling and social work providers to use telehealth for continuity of care, passed 135-0 after clarification that it applies to people moving into Maryland and allows a six-month continuity period. HB 1504, the Pedestrian Safety Act, passed unanimously. Later, HB 664 (Cecil County alcoholic beverages license quota) passed 134-1, and HB 837 (cardiovascular pre-screening for student athletic activities) passed 133-2 after the sponsor explained that reporting requirements were removed for cost reasons and the bill now mainly requires screening questions. HB 925, regulating PFAS in sewage sludge applied to farmland, generated the most extended debate: one delegate argued the bill’s limits were too weak and lacked liability for industry actors, while supporters said it establishes the first limits, requires wastewater treatment plants to reduce PFAS, and leaves room for future tightening; it passed 130-7. HB 1370, authorizing a pilot stop-sign monitoring program in Rising Sun, passed 109-26. HB 649, expanding Maryland Commission on Civil Rights enforcement to higher education discrimination claims, passed 100-35 after supporters said current protections are stronger for K-12 than for colleges. The House also passed HB 512 on compensation for Anne Arundel County license commissioners and inspectors, and the session continued into HB 661 on commemorative months.

Transcript Highlights:

• This bill funds $3 million for direct support of classroom-based literacy practices.
• This bill provides protections for independent pharmacies in their relationships with pharmacy benefit
• It provides protections. ...pharmacy benefit managers.
• It provides protections both in terms of what pharmacy benefit managers can expect of the pharmacies
• Many hospitals already follow these practices.

Summary: The House convened with a quorum present, opened with a moment of silence for Ted Williams, prayer, and the Pledge of Allegiance. Members then accepted the previous day’s minutes and moved into a series of recognitions, beginning with House Resolution 27 designating June 24, 2026 as Staff Appreciation Day. The resolution was adopted by voice vote, and the chamber spent much of the meeting honoring legislative staff across both caucuses, with members and staff introducing themselves and being recognized for years of service and behind-the-scenes work. The House also recognized staff member Justin, who is leaving for a position with the Delaware State Board of Education, and later gave farewell remarks for Representative Kevin Hensley and Representative Charles Postles, both of whom are retiring. Numerous members spoke in tribute to their service, constituent work, and personal character, and both Hensley and Postles offered remarks thanking colleagues, staff, and family. The House then received communications from the Senate, including several bills and resolutions passed and returned, and a notice of Senate concurrence on other measures. Representative Wilson-Anton made a brief statement explaining her vote on Senate Bill 100 and reaffirming support for marriage equality and related civil rights issues. The chamber also took up Senate Joint Resolution 16 and Senate Joint Resolution 17, which set the official revenue estimates for fiscal years 2026 and 2027; both were read, called to roll, and passed by constitutional majority votes of 37-4 and 40-1, respectively. Finally, the House considered Senate Bill 335, the operating budget for fiscal year ending June 30, 2027. Representative Williams presented the budget on behalf of the Joint Finance Committee, describing major funding items including raises for state and education employees, health insurance and retiree benefit funding, developmental disability services, Medicaid growth, purchase of care, and maintenance of reserve funds. Several members praised the committee’s work, while Representative Shupe said he would vote no, citing concerns about the budget’s 6.3% growth despite appreciating the committee’s effort. After the budget presentation and comments, Leader Harris moved that the House recess for party caucuses, and the House stood in recess until the call of the bell.

Transcript Highlights:

• We helped our state's pharmacies Nadau.
• <00:08:07.840> seen<00:08:08.160> done pharmacies that we've not seen done pharmacies
• And of course I'm program practically.
• So on behalf of the pharmacies that.
• This is a great bill for pharmacies, especially the small independently owned pharmacies.

Keywords: 1183, house

Transcript Highlights:

• The bill directs the Arizona State Board of Pharmacy to develop a statewide written protocol regarding
• The bill directs the Arizona State Board of Pharmacy to develop a statewide written protocol regarding
• The bill directs the Arizona State Board of Pharmacy to develop a statewide written protocol regarding
• House Bill 2732 continues the Arizona State Board of Pharmacy for six years.
• House Bill 2733, as amended by the Health and Human Services Committee, allows pharmacists and pharmacy

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• promoting proper credentialing practices particularly<00:42:08.720> in<00:42:08.840> SUD.
• Maybe you have a backstop of salary guarantee for 2 years while they build that practice.
• years while they build that practice. years while they build that practice.
• practice and when said clinical practice practice and when said clinical practice is<01:04:11.480
• Anybody would do it, a business practice. You make money off the float. Right?

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• Do we fund pharmacies?
• So, these are directly pharmacies?
• Help with pharmacy, help with dentists.
• Help with pharmacy, help with dentists.
• Help with pharmacy, hospitals need help.

Keywords: 1187, senate, all

Transcript Highlights:

• from Tufts School back in 2004, and I practiced both in private practice as well as in animal shelters
• As it stands right now, I'm working in a multi-doctor practice, and another veterinarian at the practice
• You can get those medications through an online pharmacy or take the bus to get to the pharmacy, but
• You can get those medications through an online pharmacy or take the bus to get to the pharmacy, but
• from Tufts School back in 2004, and I practiced both in private practice as well as in animal shelters

Keywords: 995, all

Summary: The committee heard testimony on several bills, with the longest discussion focused on House Bill 426 and Senate Bill 263, which would prohibit the sale in Massachusetts of cosmetics known to rely on vertebrate animal testing. Supporters from Animal Defenders International, Humane World for Animals, and the Animal Rescue League said animal testing is cruel, outdated, and unreliable, and pointed to non-animal alternatives and similar laws in other states and countries. No opposition was heard on that bill during the excerpt, and witnesses urged the committee to report it favorably. The committee also took testimony on House Bill 4543, which would clarify an existing pipe-fitting exemption for certain work performed on property owned by industrial plants, utilities, colleges, and similar institutions. A representative for Construction Industries of Massachusetts supported the bill, saying it would preserve longstanding practice for outside contractors doing yard piping work. Pipefitters Local 537 opposed it, arguing the work is properly licensed pipefitting and that the bill would weaken licensing standards and undermine state inspectors. Another major topic was Senate Bill 237 on regulating self-checkouts in grocery establishments. The Mass AFL-CIO and UFCW Local 1445 supported the bill, saying self-checkout has reduced staffing, increased worker stress and customer conflict, and contributed to theft and safety problems. Workers described being responsible for multiple machines at once, verbal abuse, and even assaults, and said the bill’s staffing and machine limits would improve safety and customer service. The committee also heard extensive testimony on House Bill 355, which would allow veterinarians to establish a client-patient relationship via telehealth; ASPCA, MSPCA, and several veterinarians supported it as a way to expand access to care, while the Massachusetts Veterinary Medical Association and several veterinarians opposed it, arguing that an in-person exam is essential for proper diagnosis and that telemedicine should only follow an in-person VCPR. Finally, the committee heard testimony on House Bill 330, Senate Bill 221, and House Bill 371, which would preempt local boards of health from adopting tobacco-related age or sales restrictions beyond the statewide standard. Public health advocates opposed the bills, arguing they would block local innovation and undermine nicotine-free generation policies adopted by municipalities, while retailers and tobacco trade groups supported them as necessary to preserve a uniform statewide age-21 standard and avoid confusion for consumers and businesses. No votes or final actions were taken during the excerpt.

Transcript Highlights:

• For living suspects, typically a search warrant, best practice.
• The practical impact is that investigators cannot simply request medical records.
• we had to get very crafty in our thinking so that we would be able to build a good case against a pharmacy
• or a doctor who was over-prescribed, or 5. case against a pharmacy or a doctor who was violating state
• safe in the state of Florida, and we do everything that we can to make sure that we put those into practice

Summary: The committee met with Senators Garcia and Simon excused and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide and violent-crime investigations, focusing on access to blood evidence, toxicology, medical records, mental health records, and the legal limits imposed by Florida law, HIPAA, and 42 CFR Part 2. He explained that autopsy evidence collected by medical examiners is generally available to law enforcement, while hospital records and mental health/substance abuse records usually require subpoenas, court orders, or consent, which can delay investigations. He also discussed the difference between DNA testing and toxicology testing, the role of warrants and probable cause for living suspects, and the special rules that apply when a suspect is deceased. Members asked detailed questions about what toxicology panels include, whether medications can be tested for, how medical examiners review prior medical history, and whether FDLE tracks data linking violent crime to mental health issues or follow up with regulators after incidents. Pollard said the agency follows investigative leads where relevant, but regulatory follow-up depends on the circumstances. He also discussed behavioral threat assessment and management, and said risk protection orders have been used effectively to prevent violence and can lead to court-ordered evaluations and services. The committee then shifted to crime lab capacity and turnaround times. Pollard said the average DNA turnaround time was 208 days for some evidence, with anything over 30 days considered backlog, but that sexual assault kits are prioritized and generally handled much faster, with rush cases sometimes completed within 24 hours. Members expressed concern about delays in unsolved violent and sexual assault cases and asked what resources would help reduce backlog; Pollard said additional analysts would improve turnaround times. The meeting concluded with thanks to the presenter and adjournment after Senator Bernard moved to adjourn.

Transcript Highlights:

• There was nothing in the pharmacy statutes telling the pharmacists that they could do it, so after a
• There was nothing in the pharmacy statutes telling the pharmacists that they could do it, so after a
• statutes telling the in the pharmacy statutes telling the pharmacists<03:04:32.439> that<03:04
• People don't go to the same pharmacies.
• pharmacies pharmacies the<03:50:51.279> you<03:50:51.439> know<03:50:52.000> we

Keywords: 1189, house, all

Transcript Highlights:

• Uh, they also have nearly 2,500 contracts with pharmacies.
• A single covered entity might have multiple contracts with multiple pharmacies, and a single pharmacy
• , and a single multiple pharmacies, and a single pharmacy<00:10:36.800> may<00:10:37.040> have
• <00:10:37.200> contracts<00:10:37.680> with pharmacy may have contracts with pharmacy
• Um so, pharmacies are not in Minnesota.

Keywords: 1187, senate, all

Transcript Highlights:

• We're also pleased that we are the only state institution that has pharmacy and architecture.
• It is also important to note that programs like pharmacy, law, and medicine don't typically use those
• Like she said, I'm a recent doctor of pharmacy graduate.
• of pharmacy across our state and developed the core principles of the now known CAP Center, or the..
• When I joined the group, it consisted of six School of Pharmacy faculty members who not only gave me

Keywords: 908, all

Transcript Highlights:

• Your legislation would allow it for independent practice where there's not that intent.
• But in my practice, I would offer you that. That's a significant piece.
• You are actually in the practice of this, of medicine.
• And we provide that center, this facilities to the practice care center for a dollar year.
• It's about an $80,000, $100,000 benefit to the practice of care center yearly.

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• My insurance practice is primarily HOAs.
• This framework allows us to identify and train providers and evidence-based practices to build capacity
• Express Scripts, which is PEBP's pharmacy benefits manager.
• Express Scripts is both the pharmacy benefit manager and a pharmacy, and is part of the vertically integrated
• Many pharmacies and hospitals purchase medicines through national or original buying groups or national

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• Participating pharmacies must submit an annual access-to-care plan to the Department and the Board of
• Pharmacy to ensure that patients have access to primary care services.
• The Board of Pharmacy is required to collaborate with the boards of medicine and osteopathic medicine
• I think the Board of Pharmacy worked very swiftly to make sure that the pathway and the structure was
• Of course, I ran an OBGYN practice for many, many years, so this is kind of my little niche.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• Participating pharmacies must submit an annual access to care plan to the Department and the Board of
• Pharmacy to ensure that patients have access to primary care services.
• The Board of Pharmacy is required to collaborate with the boards of medicine and osteopathic medicine
• We would probably need to engage our pharmacy stakeholders and our partners.
• Of course, I ran an OB-GYN practice for many, many years, so this is kind of my little niche.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.