Transcript Highlights:

• reduced or eliminated, as happened with many of the clean energy credits during the 2025 budget reconciliation

Committee: House Environment & Energy

Transcript Highlights:

• relied on a statutory exemption under the federal Personal Responsibility and Work Opportunity Reconciliation

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and then spent much of the session on floor recognitions. Members welcomed the Far West Region of Delta Sigma Theta Sorority, Inc. and honored its leadership and civic service, including wildfire recovery work and local chapter anniversaries. The body also recognized the 2026 Latino Spirit Award honorees, with remarks tied to Cinco de Mayo and Latino resilience, followed by a series of resolutions and guest introductions. Several resolutions were adopted, including SR 86 on Cinco de Mayo Week, SCR 146 declaring May Cystic Fibrosis Awareness Month, SCR 154 establishing Green Star Veterans and Families Day, SCR 123 recognizing California Peace Officers Memorial Day, SCR 164 designating Black Health Equity Advocacy Week, and SCR 103 on Tardive Dyskinesia Awareness Week. Testimony and remarks emphasized cultural heritage, shared struggles for justice, veterans’ mental health and suicide prevention, law enforcement sacrifice, and persistent racial health disparities. Most resolutions passed by unanimous roll call votes. The Senate also confirmed multiple Department of Corrections and Rehabilitation appointments, including Kathleen Ratliff and Joseph Tuggle, Jason Johnson, Madeline McLean, Brian Bishop, and Sarah Larson. Senators Grove and others voiced protest over CDCR appointments, arguing for consideration of Frank Silva, but the confirmations still passed overwhelmingly or unanimously. The chamber then approved several bills, including SB 1159 on artificial intelligence and public meetings, SB 1416 shortening refund timelines for duplicate medical/dental payments, SB 1273 expanding tied-house advertising rules for winery instructional events, SB 941 limiting commissary markups in private detention facilities, SB 1099 clarifying local authority to provide public benefits, SB 1195 expanding tied-house exemptions for certain venues, and SB 990 allowing a highway information sign near Ridgecrest. The session concluded with adjournment memories for labor leader and UCLA Labor Center director Kent Wong and recognition of his family and colleagues.

Transcript Highlights:

• But also now, with the use of one of the data reconciliation tools that we're able to use now, we're

Summary: The committee first heard SB 1315, the “Drive My Car Act,” from Senator Cabaldon. The author explained that the bill was intended to address the overlap between autonomous features and human driving, with a focus on preventing software updates from disabling a purchaser’s ability to drive a vehicle they bought for that purpose. He said the bill would be redirected to the Transportation Committee and amended to remove insurance provisions. Members broadly supported the concept as a forward-looking issue, and the committee voted due pass to Transportation on a roll call vote, with the bill held on call until all members were recorded. The committee then took up SB 876, the Disaster Recovery Reform Act, presented by the Insurance Commissioner and the committee chair. The bill would make a broad set of changes to disaster claims handling and coverage after declared wildfires, including stronger replacement-cost and contents coverage, higher additional living expense limits, building code upgrade coverage, faster claim payment timelines, adjuster status updates, insurer emergency response plans, and stronger penalties and restitution for unfair claims practices. Supporters, including United Policyholders, California Environmental Voters, the Los Angeles Mayor’s office, AARP California, and the Consumer Federation of California, said the measure would help wildfire survivors avoid underinsurance, delays, and repeated trauma in the claims process. Opposition came from insurance industry and related groups, including APCIA, the Personal Insurance Federation of California, the Pacific Association of Domestic Insurance Companies, the Civil Justice Association of California, and the California Building Industry Association. They argued the bill remained too broad even after amendments, would raise premiums, increase claim severity, reduce flexibility, and potentially worsen availability in an already fragile market. Committee members questioned several provisions, especially the cost and feasibility of mandatory coverage expansions and faster timelines. The commissioner and author said the bill was about disaster recovery rather than rates, that many provisions were optional or limited to declared disasters, and that any cost impacts could be reflected in future rate filings. The committee ultimately passed SB 876 as amended to Judiciary on a due pass vote, with one member absent and the bill held open briefly for additional votes.

Transcript Highlights:

• But also now with the use of one of the data reconciliation tools that we're able to use now, we're now

Committee: Senate Insurance

Transcript Highlights:

• The Federal Budget Reconciliation Act of 2025, I can't bear to call it by its ridiculous nickname, but

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing focused heavily on the FY27 state budget and related funding priorities across health care, housing, education, disability services, and public higher education. Multiple witnesses urged restoration or increases in funding for MassHealth Community Partners and complex care management for homeless and medically complex patients, the DMH rental subsidy program, the Massachusetts Rental Voucher Program, the DeafBlind Community Access Network, and the Commission for the Deaf and Hard of Hearing. Testimony also highlighted the need for fair pay and wage equity for community college faculty and staff, as well as support for early childhood vouchers, cash assistance, and nutrition education programs affected by federal cuts. Several witnesses described how funding gaps affect real people: nurses and care managers said patients with homelessness and severe medical needs lose coordinated care, leading to missed treatment and hospitalizations; early childhood educators said long voucher waitlists leave families without child care; community college staff said low salaries and increased workloads from MassEducate leave workers struggling to afford housing and basic expenses; and housing advocates said cuts to rental subsidies and vouchers push vulnerable people toward shelters or more expensive crisis systems. DeafBlind advocates asked for restored funding, more interpreter access, and better provider support, while a witness also supported hearing-aid coverage legislation. Education funding was another major theme. Boston, Framingham, Triton, and other districts described Chapter 70 and other formula-driven aid as failing to keep up with inflation and actual costs, forcing layoffs, program cuts, and local overrides. Speakers also called for fully funded charter reimbursements, special education circuit breaker funding, transportation aid, school building investments, and relief tied to enrollment declines driven by federal immigration enforcement. Committee members asked several clarifying questions about program status, funding mechanics, and the meaning of terms like “death by housing,” but no votes or formal actions were taken in the transcript.

Transcript Highlights:

• and make good on promises made by the current Governor and Governor Brown for real truth and reconciliation

Summary: The Assembly Education Committee met without a quorum at first and began as a subcommittee, with the chair outlining hearing procedures and several bills on consent. The committee heard and advanced AB 1581, which would improve collection of tribal affiliation data for California students so Native students are more accurately counted and better served; supporters said current systems undercount Native students and erase their needs. AB 1586 also passed, requiring school resource officers who volunteer to carry naloxone to receive opioid overdose response training every two years; supporters emphasized student safety and the need for rapid response to overdoses on campus, while one school employees’ group raised concerns about retaliation protections for non-volunteers. Both bills were moved do pass as amended to Appropriations, with roll calls held open for absent votes. The committee then approved AB 1943, which updates school notices about secure firearm storage by making the information clearer, more visible, and more likely to reach families at key moments such as counseling or discipline interventions. Supporters from gun violence prevention groups, educators, and parents argued that many school shooters obtain guns from home and that plain-language, digital, and timely notices could help prevent child deaths and suicides; the author shared a personal story about a child accessing a gun at home. AB 1792 also advanced, directing the Instructional Quality Commission to consider updating health education to address digital safety issues such as deepfakes, extortion, grooming, and AI-generated exploitation; supporters said students need instruction that reflects modern online risks, while an opponent objected to language referencing LGBTQIA+ and gender-diverse students. AB 1653 passed as well, adding heat-illness guidance to the health framework after a young Girl Scout described students suffering during extreme heat and not recognizing symptoms. Later, the committee approved AB 1861, which would require the California Department of Education to create a public database of special education investigation reports with personal information redacted; supporters said families need better access to complaint outcomes and accountability, while an opposition witness warned of unintended consequences, misuse of incomplete information, and added burdens on districts. AB 1721 also moved forward, creating a stakeholder work group to review and streamline school safety plan requirements so plans remain practical and focused on emergency preparedness. AB 1631, which would make kindergarten mandatory, received mixed testimony: supporters argued it would help close achievement gaps and improve readiness, while opponents framed it as an intrusion on parental choice; the bill was held on call after a split vote. Finally, AB 1809, extending job order contracting authority for school and community college districts, was also held on call after opposition from contractors who argued project labor agreement requirements raise costs and reduce competition. The committee then began hearing AB 1659, aimed at improving transitions for court school students back to their home districts, with testimony describing re-enrollment barriers and the need for a designated district contact.

Transcript Highlights:

• our budget projections and those methodologies, and then enhancing our rebate monitoring and reconciliation

Committee: House Health and Human Services

Transcript Highlights:

• What we're talking about is medical records, medical reconciliation, and lab results, so that can completely

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:

• financial transparency and accountability, we implemented stronger internal controls to ensure proper reconciliation

Committee: Senate Ethics and Elections

Transcript Highlights:

• Make her a channel for peace, reconciliation, and justice in the minds and hearts of all our citizens

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the prior day’s journal by a 134-0 roll call vote. Members then moved through a series of personal privileges and introductions of guests, including Turning Point USA chapters, CASA volunteers and staff, JAG students, university students, nursing students, interns, and other visitors recognized from across the state. On third reading, House Bill 1766, dealing with personal property tax treatment and new construction, was debated as a taxpayer relief measure. Supporters said it would treat personal property more like real estate under Hancock-style limits, while opponents warned it could reduce revenue for taxing districts. The bill passed 94-50. The House then took up House Committee Substitute for House Bill 2989, a major gaming bill aimed at cracking down on illegal “gray market” machines while creating a regulated local-option video lottery terminal system. Debate focused on enforcement, local control, consumer protection, revenue for education, veterans, and disability programs, and whether the bill effectively legalized gambling in a new form. A motion to send it to Fiscal Review failed 69-44, and the bill ultimately passed 83-66 with one present. The chamber next considered House Committee Substitute for House Bill 2014, the supplemental appropriations bill. The sponsor said it provides a little over $3 billion in additional authority for the rest of FY2026, including tax refunds, disaster response, St. Louis tornado relief, Medicaid-related spending, and Missouri Department of Transportation operations. Members discussed the size of supplemental spending, the use of federal and general revenue funds, and the first-time use of general revenue for the adult expansion Medicaid population. The House adopted an amendment reducing some unused Medicaid authority, then adopted the bill as amended and perfected it for printing. The session ended with announcements, including a notice that the Super Committee on Tourism would meet immediately in Hearing Room 6.

Transcript Highlights:

• In meeting this obligation, the Secretary must also collect data from reconciliation reports and county

Bills: HB1295 , HB2007 , HB2262 , HB2636

Committee: House Education

Keywords: reading instruction, structured literacy, early literacy, dyslexia, phonics, phonological awareness, language comprehension, vocabulary, fluency, oral language, orthographic knowledge, multi-tiered system of supports, MTSS, screening assessments, intervention, reading intervention, elementary education, kindergarten, first grade, second grade

Transcript Highlights:

• In meeting this obligation, the Secretary must also collect data from reconciliation reports and county

Summary: The committee first took up a motion from Ranking Member Root to promptly schedule public hearings on two citizens’ initiatives. Supporters argued the Constitution and public accountability required hearings so voters could hear pro and con arguments; opponents said the legislature was not obligated to act that way and the initiatives would still be heard at the ballot. On a voice vote, the motion failed. The committee then heard extensive testimony on House Bill 1295, which would require evidence-aligned, comprehensive literacy instruction for K-4 students, update teacher endorsement standards and preparation programs, and require literacy-related continuing education for some teachers. The bill also repeals several older literacy-related provisions. The sponsor and supporters said Washington’s reading results are too low and that structured literacy reflects the science of reading; districts such as Puyallup described strong gains after adopting evidence-aligned instruction. Opponents and alternative-program advocates argued the bill could narrow instructional approaches and exclude programs they say have worked well. PESB testified neutrally that much of the endorsement work is already underway but asked for clarification on recertification language. The hearing on HB 1295 was suspended and later resumed with additional pro testimony from students, parents, and literacy advocates. House Bill 2262 was then heard and completed. It would require high school civics instruction to include teaching students to produce a legible, repeatable official signature and explain how signatures are used in elections and ballot processes, while also requiring related outreach and reporting on signature mismatch ballot rejections. The sponsor and county auditor testimony emphasized that younger voters often have signatures that change over time and that better instruction could reduce ballot rejections; questions focused on whether the bill should account for printed signatures and diverse writing systems. The Secretary of State’s office and county auditors were reported as supportive, and the hearing closed after a large number of pro sign-ins. The committee also heard House Bill 2636, which would create a public education performance, operations, and funding review commission to evaluate whether education mandates and funding are effective, relevant, and adequately supported. Supporters said the bill would help identify unfunded mandates and reduce administrative burdens on districts; rural district testimony urged a narrower scope and earlier start date. Finally, House Bill 2007 was heard, proposing competency-based assessments as additional graduation pathway options in place of some existing course/exam requirements. Student testimony supported more flexible, equitable pathways, while the State Board of Education said it supports competency-based education but preferred to wait for its broader Future Ready graduation-requirements work and noted the bill would require additional rulemaking. The hearing on HB 2007 closed after testimony from students and a neutral statement from SBE.

Transcript Highlights:

• House Bill 52, introduced by Representative Reeb, relating to statutory reconciliation, correcting cross-references

Bills: HB1

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• representatives of any state in the union to acknowledge and to right the wrongs of the past as a matter of reconciliation

Bills: HB1982 , HB2156

Committee: House Community Safety

Keywords: Indian rights, treaty rights, convictions, tribal members, criminal justice reform, Attorney General, AG investigators, limited authority peace officer, peace officer certification, economic crimes, financial crimes, white-collar crime, fraud investigation, search warrant service, electronic service, business records, law enforcement authority, criminal background check, training requirements, Washington RCW

Transcript Highlights:

• representatives of any state in the union to acknowledge and to right the wrongs of the past as a matter of reconciliation

Summary: The committee opened with a work session on effective interrogation techniques, hearing from two remote experts, retired homicide detective Matt Jones and former federal agent Mark Fallon. Both argued for science-based, information-gathering interviewing over confrontational or deception-based tactics, emphasizing rapport, open-ended questioning, corroboration, and avoiding coercion, especially with vulnerable interviewees. They said these methods improve reliability, reduce false confessions and wrongful convictions, and better withstand court scrutiny. Members asked for source materials and raised concerns about how friendly or minimization-style questioning could affect victims; the witnesses said they would provide research and noted that some common tactics can be problematic in sexual assault cases. No votes were taken in the work session. The committee then held a hearing on House Bill 1982, which would expand Washington’s existing process for vacating convictions tied to treaty rights. Staff explained that current law mainly covers pre-1975 fishing convictions, while the bill would extend relief to convictions involving treaty fishing, hunting, gathering, and pasturing rights, remove the date limit, include local ordinances, authorize the Office of Public Defense to provide direct representation and consultation, and create a tribal liaison position. The prime sponsor and tribal leaders testified in support, describing the bill as a way to correct historical wrongs and remove barriers to jobs, housing, and other opportunities. The Office of Public Defense said it supports the bill but needs statutory authority and a hub to identify and process cases; an Attorney General’s Office tribal liaison also supported the concept and suggested clarifying amendments. Some members questioned the scope of the affected population, costs, and whether the legislature could vacate the convictions directly, while others raised concerns about competing resource demands and the need for judicial action case by case. No final action was taken. Finally, the committee began hearing House Bill 2156, which would expand the Attorney General’s Office investigators’ authority in limited circumstances. Staff said the bill would let AGO investigators exercise only the authority of the entity granting concurrent jurisdiction, allow them to serve business search warrants only when authorized by a judicial officer, and clarify that they cannot detain, arrest, or carry weapons. The bill sponsor said it would reduce delays in economic-crime cases by allowing investigators to serve electronic warrants themselves instead of relying on local officers. Opponents from the sheriffs and police chiefs association and a retired veteran argued the bill blurs the line between investigation and prosecution, lacks sufficient oversight, and could create constitutional and training concerns. AGO representatives responded that the bill is narrowly focused, that most investigators are retired law enforcement, and that it would mainly streamline service of electronic warrants in cases such as organized retail theft and wage theft. The hearing was still in progress when the transcript ended, and no vote was recorded on this bill.

Transcript Highlights:

• The next two slides, 20 and 21, outline some of the changes that occurred as part of the reconciliation

Transcript Highlights:

• Related to that, bank reconciliations were not promptly performed and contained errors that were not

Summary: The Joint Legislative Auditing Committee first heard a long-running audit finding involving Daytona Beach’s unexpended building permit funds, which have exceeded the statutory limit for several years and were reported at $10.8 million in the most recent audit. Mayor Derek Henry and city staff said the city has analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees over several periods, and used some excess funds for a training facility rehabilitation and a proposed City Hall expansion. Committee members repeatedly questioned whether the city was simply trying to spend down the money, raised concerns about the legality and necessity of proposed expenditures, and asked about interest earnings, truck purchases, and the lack of detailed tracking for training-facility use. The city said an Attorney General opinion allows construction of a new building for building-code functions but not purchase of an existing building, and that if the city cannot comply through permissible construction it would have to return the funds. No vote was taken, but members expressed strong frustration and urged the city to resolve the issue quickly and lawfully. The committee then received the Auditor General’s presentation on the Town of Greenville, which found 31 findings and described pervasive control failures, possible fraud, waste, and abuse. The findings covered elections and quorum issues, conflicts of interest, late or missing financial disclosure forms, related-party transactions, poor meeting notices and minutes, council involvement in day-to-day operations, missing ethics training, budget and accounting deficiencies, weak bank reconciliations, improper utility billing and rates, grant compliance problems tied to a grocery store project, personnel and compensation issues involving the town manager, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control problems, public records issues, and IT/fraud-policy weaknesses. The auditor said the review focused mainly on October 2022 through February 2024 but went back further for some grant-related matters. Greenville’s mayor and staff said the audit reflected actions of a previous administration and that the current council and staff have already adopted seven new policies to improve procurement, financial controls, inventory management, grant oversight, and ethics. They said the town has a new manager and clerk, that the former manager was terminated, and that the town referred matters to FDLE, which is investigating. Committee members asked about the manager’s salary increase, severance, P-card use, and whether the town should consider consolidation or dissolution. The mayor said the town is on a better path, that most of the prior leadership has been voted out, and that the town is working with auditors and an outside accounting firm to correct the problems.

Transcript Highlights:

• shake the three-legged stool of the ACA marketplace, which included a marketplace rule and some reconciliation

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• In the budget reconciliation bill that was passed by Congress in July, there is a rural health transformation

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:

• In the budget reconciliation bill that was passed by Congress in July, there is a rural health transformation

Committee: Senate Health Policy

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.