Transcript Highlights:

• or licensed daycare facilities.
• This is why a conditional use permit for residential licensed facilities and other facilities that are
• To the General Register? I heard a "yes."
• The initial motion was to send it to the General Register.
• It is generally the purview of the chairs to request bills.

Committee: House Elections Finance and Government Operations

Transcript Highlights:

• its facilities.
• So that's just a general overview for you all.
• This is only talking about the general fund.
• But there is general fund in other places.
• the general fund. So it's an increase.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• I own and operate five congregate living health facilities.
• I own and operate five congregate living health facilities.
• I just want to reiterate the and operate five congregate living health facilities.
• screenings and the general annual type of tests.
• screenings and the general annual type of tests.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.

Transcript Highlights:

• Inter-facility transfer quality measures. Inter-facility transfer quality measures.
• So think about all your available generics.
• But generally, that's how states have managed.
• to those facilities.
• They are working every day at the facility.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• Most of our athletic facilities do have a general use and purpose.
• Most of our athletic facilities do have a general use and purpose.
• </c><00:55:01.600><c> are</c><00:55:01.760><c> general</c><00:55:02.200><c> use</c> our facilities are
• general use our facilities are general use um<00:55:03.360><c> and</c><00:55:03.640><c> accessible</
• </c> a fee on facilities that are not general a fee on facilities that are not general use. use. use.

Keywords: 918, senate, all

Summary: The committee discussed a higher education attainment-goals bill and several related amendments. Members first reached agreement on funding changes: one amendment redirected money for fraud-prevention software for MnSCU and $5,000 for trees in Bemidji, and another moved $570,000 for workforce development-related funding. Members noted the use of general fund dollars to cover a FIG shortfall and expressed support for addressing fraud prevention while also saying MnSCU should be made whole in the next biennium. Both amendments were adopted. The main policy debate centered on an amendment updating the statewide attainment goal and related P-20 partnership language. Senator Um Ruebain proposed returning the attainment goal from 75 percent to 70 percent, and members discussed whether the bill’s expanded reporting and coordination duties would create costs for the Department of Children, Youth, and Families (DCYF). Nonpartisan staff and Commissioner Olsen said the Office of Higher Education and the P-20 partnership expected no costs, while DCYF’s fiscal note assumed reporting and staffing costs. After discussion, DCYF indicated it would absorb the costs, but some members still objected to expanding the partnership and creating additional bureaucracy. Members also debated whether early childhood and K-12 subgoals should be included as part of the attainment-goals framework. Supporters said aligning early childhood, K-12, and higher education goals is necessary to improve postsecondary attainment, while opponents argued the committee should focus on existing higher education goals and basic K-12 achievement. The committee ultimately adopted the Senate language on the attainment-goals section as amended, including the change back to 70 percent and revisions directed by staff to ensure the correct references were updated. The A12 amendment on pregnant and parenting students was also adopted earlier in the meeting.

Transcript Highlights:

• And there's inter-facility ambulance services, and that is moving patients in between health care facilities
• The facility failed this basic promise.
• for program payments, causing delayed payments to these facilities.
• Yvonne Chung with the California Association of Health Facilities.
• We represent close to 900 skilled nursing facilities in California.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• So there's actually no general fund impact there.
• So there's actually no general fund impact there.
• 16 months is currently about 69% of our facilities.
• We're looking to our facilities with prior enforcement history.
• And then finally, our facilities that have multiple complaints.

Committee: House Health and Human Services

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• by the state, a state health facility.
• We have a good pathway in Title 36 into these facilities. We just need to get the facilities built.
• We do not have those facilities right now.
• , then they can choose a facility that allows that.
• , then they can choose a facility that allows that. ...bedroom, then they can choose a facility that

Keywords: 1182, all

Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.

Transcript Highlights:

• Many Complex Federal Facility Agreement.
• This slide provides a general FFA.
• c> schools</c> other facil facilities such as schools other facil facilities such as schools and<00:24
• This is to is general system documents.
• One that represents each facility.

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill received an update from the Hawaii Department of Health and EPA Region 9 on regulatory oversight of the Red Hill facility, the Navy drinking water system, and ongoing environmental investigation and cleanup. The agencies reviewed the authorities governing the work, including DOH’s emergency orders, EPA’s 2023 administrative consent order, and the older 2015 agreement, and explained that the newer framework is being used for most current oversight because it includes closure, remediation, drinking water protections, and stronger community engagement requirements, even though some requirements overlap. EPA and DOH reported major milestones and current work. Defueling was completed in March 2024, with about 104 million gallons removed, and the agencies said this eliminated the risk of another catastrophic release. They described the current tank-closure phase, expected to finish in July 2029, along with site assessment, site investigation, remediation, and long-term monitoring that may continue through at least 2040. They also summarized drinking water actions: emergency response flushing and sampling after the 2021 spill, lifting of the public health advisory in 2022, completion of extended drinking water monitoring in 2025, and ongoing system improvements such as repairs, flushing plans, valve work, complaint-response protocols, and upgrades to storage tanks and pumps. Members asked several questions about monitoring results, the meaning of TPH, the status of the 2015 agreement, and the Navy’s groundwater model. EPA said its sampling and the Navy’s results were in alignment during extended monitoring, and that it plans to issue a summary report covering the full response period. On the groundwater model, EPA and DOH said they have not yet approved it for decision-making, are reviewing it iteratively with outside experts and University of Hawaii data, and may approve it for specific uses in the future. DOH said its latest comment letter states the model cannot yet be used for decision-making purposes, and noted that UH’s separate modeling work is contingent on funding and may not be completed until next spring. The agencies also said they continue community outreach through open houses, webinars, neighborhood boards, legislative hearings, and fuel tank advisory committee meetings.

Transcript Highlights:

• "In every generation, "In every generation, each<00:01:32.480><c> person</c> each person each person
• ><c> and</c><00:30:00.800><c> Housing</c> Your Committee on General and Housing Your Committee on General
• Inspector General.
• General.
• and the Defender General.

Keywords: 926, house, all

Transcript Highlights:

• You're recognized to present HB 1089, Waste Facilities.
• facilities commonly known as MRFs where recyclables are processed.
• My understanding is it's had no impact on that type of facility.
• going to be able to use and they can no longer discharge into that facility.
• land application facilities would still be able to be permitted.

Transcript Highlights:

• This will refer to a third-party licensed child care facility.
• and support child care facilities.
• and support child care facilities.
• The money in the fund will all be put into general revenue as of June 30, 2026.
• Do you know what the fund generated last year?

Committee: Senate Finance

Keywords: 994, senate, all

Transcript Highlights:

• That generally advertises auctions for personal property.
• Publishing notice in a newspaper of general circulation.
• Or availability for storage facility owners to send out notices. for lean sales.
• Surgeon General under President Trump. President Biden.
• So we would empower the Attorney General as.

Bills: HB186 , HB517 , HB 1093 , HB 1268 , HB1395 , HB186

Committee: House Trade, Workforce & Economic Development

Keywords: social media, children, account verification, data privacy, parental control, property owners' association, residential watering restrictions, vegetation, fine limitations, drought, technology, innovation, economic development, grants, Texas Economic Development, business funding, HB 1395, private passenger vehicle rental, car rental, vehicle rental

Transcript Highlights:

• enrollment, the implementation of the screeners for reading difficulties, special education, school facilities
• In the 2020 Budget Act, the state provided $200 million one-time Proposition 98 General Fund for the
• The prior investment is expanded by including an additional $100 million one-time Proposition 98 General
• for LEAs that expand dual enrollment opportunities for justice-involved youth in county-operated facilities
• The proposition authorized a total of $10 billion in state general obligation bonds.

Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals on dual enrollment, reading difficulty screeners, special education, school facilities, and Commission on Teacher Credentialing programs. On dual enrollment, the Department of Finance described a $100 million one-time Proposition 98 investment to expand the Dual Enrollment Opportunities Grant Program, along with changes to make regional occupational centers eligible, add funding for justice-involved youth, prioritize higher-need LEAs, support teacher professional development, and reduce daily instructional minute requirements for some dual enrollment students. The LAO recommended rejecting the new funding as not clearly addressing implementation barriers, while CDE supported the proposal and suggested reserving $10 million for technical assistance. Committee members and public commenters generally supported the expansion, with some asking for technical assistance and broader access, including adult dual enrollment. The committee also reviewed a $40 million one-time Proposition 98 proposal for reading difficulty screener implementation and related trailer bill language that would require screening after 91 school days for kindergarten and 46 school days for grades 1-2. Finance said the timing was intended to reduce over-identification and align with evidence from preliminary data; the LAO recommended rejecting the funding and redirecting it to a discretionary block grant. CDE supported the funding and the general approach but acknowledged the need for local support and training. Several committee members and public witnesses raised concerns that the proposed timing restrictions were too rigid and could delay early intervention, while others supported the delay as a way to improve accuracy and avoid misidentification. For special education, Finance proposed ongoing Proposition 98 increases to adjust for COLA and enrollment changes and to raise the statewide special education base rate to $99 per ADA, equalizing rates across SELPAs. The LAO said the proposal should be adopted but estimated it could be funded for less than the Governor’s figure. CDE and multiple local education representatives strongly supported the increase, citing rising special education enrollment, cost pressures, and large local funding gaps. The committee also heard a brief overview of the school facilities proposal, which continues $1.5 billion in Proposition 2 bond funding for the School Facility Program; OPSC reported significant remaining bond authority but also substantial pending demand, and explained that natural disaster school rebuilding draws from the broader new construction and modernization pools. Finally, the committee reviewed Commission on Teacher Credentialing proposals, including the already-funded $300 million Student Teacher Stipend Program, new state operations resources for misconduct investigations and grant administration, and a $250 million one-time continuation of the Teacher Residency Grant Program. CTC said its grants management system is ready and that it expects better data tracking; public testimony broadly supported the educator workforce investments and urged continued funding for the Golden State Teacher Grant Program and additional support for rural and leadership pipeline programs. No votes were taken, and the hearing adjourned after public testimony.

Transcript Highlights:

• So facilities, we know.
• So facilities, we need more investment in facilities, more investment in training, compensation.
• When you say expand facilities, I just see the challenges.
• What happens is Prop. 98 or general fund actually just goes back into the general fund pot.
• What happens is Prop. 98 or general fund actually just goes back into the general fund pot.

Summary: The Assembly Select Committee on Child Care Costs held its third hearing, focused on how transitional kindergarten (TK) fits into California’s mixed-delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and child care should complement each other, not compete, and that families need both part-day school-based options and full-day, year-round care. Committee members outlined hearing goals around aligning TK with existing programs, understanding family needs, and examining the economic impact of early learning on workforce participation and local economies. Panelists from the Legislative Analyst’s Office, Every Child California, Early Edge, Children Now, and others described TK’s rapid expansion to all four-year-olds, the growth in enrollment, and related changes to state preschool and after-school programs. Witnesses generally supported TK but warned that its expansion has shifted enrollment away from community-based providers, especially centers and family child care homes, creating financial strain, vacant classrooms, and staffing challenges. They urged stronger partnerships between school districts and community providers, more flexible licensing and facilities support, higher and more uniform reimbursement rates, permanent authority for state preschool to serve two-year-olds, and better compensation and training for educators across settings. Parents and providers testified about the importance of trusted, culturally and linguistically responsive care, the need for infant-toddler and home-based options, and the difficulty of affording child care when TK is not full-day or does not fit family schedules. Several speakers emphasized that many families still face long waits for subsidies and that reimbursement and payment delays threaten provider stability. Public comment echoed these concerns, with providers calling for true cost-of-care rates, more vouchers, support for transportation and nontraditional hours, and protection from insurance and facility costs that can force programs to close. State education officials said California’s UPK system works best when TK, state preschool, Head Start, and community-based providers are treated as a shared system, and noted that planning and implementation grants and local coordination efforts have helped build mixed-delivery partnerships. The hearing ended without formal votes or actions, but committee members indicated they would continue gathering input to inform future policy and budget decisions.

Transcript Highlights:

• So these are residential facilities.
• common right, in the army we call it a common latrine facility, but a common, you know restroom facility
• And change facilities as listed on this bill.
• I'm sorry. changing facilities.
• On that form, there was very general...

Bills: SB7 , SB14 , SB 7 , SB 14

Committee: Senate State Affairs

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct, abortion, civil liability, abortion-inducing drugs, qui tam actions, Texas Citizens Participation Act, Religious Freedom Restoration Act, healthcare regulations, impact fees, water conservation, reuse projects

Transcript Highlights:

• And I always tell the wardens, take me to your toughest facility.
• Take me to your toughest facility.
• to our facilities director, who will be before you next week.
• Facility-wise, again, we do keep those facilities in what we call cold or warm shutdown mode, depending
• Facility-wise, again, we do keep those facilities in what we call cold or warm shutdown mode, depending

Committee: Senate Rules

Keywords: 987, senate, all

Transcript Highlights:

• facilities.
• They're in a release program, and they are in an unlocked facility.
• I'm going to the law, and by confinement, it means a transitional facility.
• Chair Mirdahl and Senator Larson, in a DOCR facility.
• And the same for the Attorney General. They're going to submit something.

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• It is estimated that 90% of all surgeries generate surgical smoke.
• A lot of surgeries generate surgical smoke. Just imagine that this is a pen.
• OR nurses reported twice the incidence of respiratory problems compared to the general population.
• , for nursing homes, for assisted living facilities, for hospitals... ...for health care facilities,
• And sometimes those who work there or own the facilities may be a little upset about that.

Committee: Senate Health Policy

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• Generally, they're going to want to be on that board.
• Generally, they're going to want to be on that board.
• So again, you're limiting what can go back into general revenue.
• There are multiple facilities in St.
• That goes back into the general fund every year.

Committee: House Higher Education and Workforce Development

Keywords: 959, house, all