Transcript Highlights:

• requires that every employee of a residential facility or day training program for people with developmental
• contains toxic gases and vapors such as benzene, hydrogen cyanide, formaldehyde, dead and live cellular material
• bioaerosols... ...such as benzene, hydrogen cyanide, formaldehyde, bioaerosols, dead and live cellular material
• Surgical smoke contains toxic gases, vapors, and particles of dead and live cells, materials, and viruses

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• But there's the general concept of Brady material, exculpatory evidence. The Morton Act is broad.
• The language that I provided is the standard: it would be relevant, evident, and material.
• That's why we are going to continue to filter what would be Michael Morton material and then keep everything
• They face normal developmental challenges as they enter adolescence and adulthood, but these will all

Bills: SB7, SB14, SB 7, SB 14

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:

• <00:28:20.960> language<00:28:21.360> disorder, developmental language disorder, developmental
• <00:47:15.440> So,<00:47:16.720> regardless of 8th grade materials.
• So, regardless of 8th grade materials.
• On the next page, page 10, in that first paragraph, it says instructional materials and practices.
• <00:52:29.760> and it says instructional materials and it says instructional materials and

Keywords: 916, all

Transcript Highlights:

• is, you know, if you'd like to reserve time for questions at the end and have us get through the material
• The grant funds are used for the cost of tuition, fees, required and recommended material, as well as
• The grant funds are used for the cost of tuition, fees, required and recommended material, as well as
• the purpose of increasing overall enrollment and access for students with an intellectual and/or developmental
• with intellectual and developmental with intellectual and developmental disabilities<01:18:24.159

Keywords: 1183, house

Transcript Highlights:

• Next on the agenda, item D, is a presentation on the Developmental Disabilities Provider Association,
• I am executive director of the Developmental Disabilities Provider Association. Good morning.
• Next on the agenda, item D, presentation on developmental disabilities provider association, DDPA.
• I'm executive director of developmental disabilities provider association. Good morning.
• So I guess there's no point maybe to explain in what the developmental disabilities are.

Keywords: 1204, all

Transcript Highlights:

• law and include all individuals with developmental disabilities.
• FASD and other developmental disorders, access to services will be available to these children.
• If we change the words, maybe it'll be the start of a new attitude toward people with developmental,
• ’s definition of developmental disabilities to align more closely with the federal definition.
• O'Day and Senator Lovely's bill around developmental disabilities.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hearing on a broad slate of disability-related bills. Topics included creating a permanent Acquired Brain Injury Advisory Board (H. 231/S. 134), establishing a system for compensating guardians who serve incapacitated, unbefriended individuals through MassHealth (H. 253/S. 154), expanding Nikki’s Law to require MassHealth day habilitation programs to use the abuse registry (S. 165 and related bills), modernizing and streamlining the Disabled Persons Protection Commission’s statute and procedures (H. 243/S. 139), updating the definition of developmental disability to align more closely with federal law and include people such as those with fetal alcohol spectrum disorder (H. 276/S. 150), removing outdated and offensive terminology from the General Laws (H. 232/S. 137), and an autism education reform bill (H. 286). Several bills had no sign-ups, and the committee also noted related measures on cueing and prompting in PCA programs (H. 277/S. 157).

Transcript Highlights:

• obscene materials. obscene materials.
• behavior and safety in developmentally behavior and safety in developmentally appropriate<02:05:
• <02:18:05.760> today included with the materials today included with the materials today includes
• It is a developmental need.
• It is a developmental bargaining chip.

Keywords: 1189, house, all

Transcript Highlights:

• 06.760> I<00:12:06.920> think Senator Douglas said he believed he had received the materials
• everyone for being here and said the final items on the pool list are with Behavioral Health, Developmental
• Jennifer M. introduced herself as the assistant director in the Department for Behavioral Health, Developmental
• for assistant director department for Behavioral<01:02:38.000> Health<01:02:38.319> Developmental
• <01:02:38.839> and Behavioral Health Developmental and Behavioral Health Developmental and

Keywords: This meeting will take place upon adjournment of both chambers today. There is not an exact time, there for the live stream has been created with a place holder time of 4:00 PM est., 958, all

Summary: Chairman Hart called the meeting to order, confirmed a quorum, welcomed Representative Rachel Roarx, and the committee approved the February 11 minutes. The committee then moved through its agenda of PSC and related contract items, including a motion to consider the reviewed contracts without objection. One Department of Highways item was deferred when the virtual representatives were not yet available. The committee first took up Kentucky Housing Corporation contracts. Members questioned outside legal services for foreclosures and bankruptcies, why the work was not handled entirely in-house, and how much of the workload and cost it represented. Witnesses said the agency’s need was largely geographic rather than a lack of expertise, that less than 1% of the loan portfolio is referred out for foreclosures, and that many fees are reimbursable through FHA. Both Kentucky Housing Corporation items were approved. The committee then considered a Department for Community Based Services contract tied to a protest and a temporary renewal with PCG. Witnesses said the contract increase was needed to bridge the gap while the protest and RFP process were unresolved, and that the initial vendor received no funds. The committee approved the item, with Senator Douglas explaining his vote as a preference for straightforward answers. The committee also heard a Northern Kentucky University contract for a Workday ERP replacement, including implementation consulting and separate license fees. University officials explained the move from SAP to Workday, the complexity of the systems, and the need for a consulting partner; they said the total effort would span 10 years and that the contract was priced below comparable institutions. After extensive questioning about cost, budget, and value, the vote ended 4-4 and the chair noted the contract would move forward through the Finance Committee if no disapproval motion was made. Finally, the Office of Inspector General presented a contract for culture change training in nursing facilities funded by civil monetary penalties; witnesses said the goal was to improve staff satisfaction, communication, and resident outcomes, and that the CMP fund balance was about $38 million. Discussion also covered survey backlogs and CMS restrictions on the funds, with the item still under review as the transcript ended.

Transcript Highlights:

• And I only asked because we had experience with that where, you know, had a where the developmental process
• And I only asked because we had experience with that where, you know, had a where the developmental process
• ><01:43:29.080> U that you limit the number of soft U that you limit the number of soft U materials
• :31.119> you<01:43:31.280> have<01:43:31.599> go<01:43:31.679> ahead materials
• around them you have go ahead materials around them you have go ahead represent<01:43:32.840> PRI

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• material, an enrollment application,<01:24:55.199> etc.
• All documents are provided, scoring materials, references, and if there's a valid point that a vendor
• ,<01:34:25.040> uh, are provided, scoring materials, uh, are provided, scoring materials,
• If it's material delays, if they're weather-related, that type of thing, there's no additional fee for
• [Music] Hello, my name is Jennifer Mort with the Department for Behavioral Health, Developmental and

Keywords: 958, all

Summary: The committee met with a quorum, approved the June 10 minutes, and then handled a routine agenda of contracts and agreements. It deferred one Kentucky Educational Television contract to the August 2025 meeting because the vendor was not registered with the Secretary of State, and then approved the remaining routine items on the PSC green list and related contract lists without objection. The most detailed discussion involved two personal service contracts for the Kentucky Employees Health Plan. Officials from the Personnel Cabinet and Department of Employee Insurance explained that the contracts were designed to identify claims errors and overspending, with vendors paid a percentage of validated savings recovered for the plan. Senators asked how the savings were calculated and whether the contracts had changed plan processes; staff said the contracts had produced realized savings, some errors had been corrected going forward, and the vendors report quarterly. The committee approved those contracts. The committee then took up a retroactive Kentucky Higher Education Assistance Authority contract for a customized College Info Road Show bus. Members questioned why the contract was being presented months after execution, why it involved an out-of-state vendor, and whether the purchase was reasonable and timely. KHEAA staff said the delay stemmed from the need to finalize sustainability and safety details after the RFP, and acknowledged internal process and staffing issues. Several members criticized the retroactive approval process and said they could not validate the purchase from the information provided, but the committee ultimately approved the contract after debate. A final KHEAA discussion focused on the purpose and value of the mobile outreach bus. Staff said the bus supports college and financial aid outreach, especially in rural areas, and has been used for 26 years. Some members questioned the return on investment and whether the state should rely more on broadband and remote outreach, while others supported the program as a way to reach students and families. The committee approved the KHEAA contract, with Senator Douglas voting no and explaining concerns about whether such outreach programs are the proper role of government and whether they are the best use of public funds.

Transcript Highlights:

• um developmental um developmental disability<00:11:59.680> behavioral<00:12:00.079> health<
• ,<00:19:42.480> and<00:19:42.720> intellectual developmental, and intellectual developmental
• support for developmental disabilities. support for developmental disabilities.
• people with de developmental people with de developmental disabilities. disabilities. disabilities
• <00:32:33.440> and<00:32:33.679> intellectual developmental and intellectual developmental

Keywords: 958, all

Summary: The committee first approved contracts 98, 99, and 100, then heard from the Kentucky Department of Tourism on a contract with the United Kingdom and other European markets. Tourism officials said the state has had similar international marketing contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the work includes marketing, public relations, familiarization trips, and media outreach. After questions about costs and effectiveness, the contract was approved by roll call. Members then reviewed Finance Cabinet facilities contracts 29 and 48 for engineering and architectural services tied to project design, including a specialized lab expansion project. The chair raised concerns that the fees seemed high for services that do not include construction, while the agency explained the work covers design for mechanical, electrical, plumbing, and architectural planning, and that the lab project’s specialized pathogen-related work limits the pool of firms. The committee voted to approve the contracts. The Attorney General’s office then presented an opioid abatement agreement. Senator Meredith asked how the commission coordinates with other state behavioral health efforts, and staff explained that the commission allocates settlement funds based on applications and includes related agency representation to help avoid duplication. The contract was approved. The committee also approved a behavioral health contract for 988 chat and text services, which will expand Kentucky-based crisis response coverage to 24/7 and move more of the state’s calls, chats, and texts from a national center to local specialists. A related amendment for the Voices of Hope overdose response contract was approved after staff said the increase simply extends services into the next fiscal year. Finally, the committee approved a DCBS contract for the Building Bridges Initiative, which provides training and peer mentoring for residential child care providers, and then approved three contracts for the Council on Developmental Disabilities. Those contracts were explained as necessary because the council is the designated state agency for federal DD Act funding, and one questioned item involving an advocacy and sexuality initiative was described as part of the council’s five-year plan focused on self-advocacy, systems change, and capacity building. The committee also discussed a food insecurity survey contract with a Kentucky nonprofit, with staff saying the organization was chosen for its statewide network and ability to gather raw data, while members raised concerns about whether the study should distinguish between lack of food and poor diet. All of the reviewed contracts were approved by roll call.

Transcript Highlights:

• Um, I had prepared a set of materials to discuss with you the differences between our current TCJA and
• Um, I had thought we were going to include some fiscal analysis in those materials.
• They defined excluded organization in starting line 24 on page two and the radio material is interrelated
• They defined excluded organization in starting line 24 on page two and the radio material is interrelated
• um material um material is is is interrelated<05:00:49.680> I<05:00:49.920> think<

Keywords: 1189, house, all

Transcript Highlights:

• or her care and protection is impaired due to mental, emotional, sensory, long-term physical or developmental
• program, including logos, slogans, brochures, flyers, a social media toolkit, and other creative materials
• The goal of these materials was twofold: to engage and resonate with the young adult population we aim
• Their preferred design elements were integrated into the finalized marketing materials, ensuring that
• Some of these finalized materials are displayed on the slide here, showcasing the collaborative effort

Summary: The Committee on Children, Families, and Elder Affairs received three presentations and took no bill votes. The Department of Children and Families gave an extensive update on human trafficking prevention and services, describing Florida’s statutory framework, hotline and investigation data, placement options such as safe houses and safe foster homes, new adult safe house certification rules, expanded screening tools for vulnerable adults, and prevention efforts including youth-led outreach and training. Members asked about whether current funding is sufficient, how DCF addresses grooming and re-victimization in residential settings, and how long youth typically remain in safe-house placements; DCF said funding is only one part of the support system, that families and youth receive prevention resources even when allegations are not substantiated, and that placement length varies by child. OPPAGA then presented its 2024 annual report on commercial sexual exploitation of children. The report found that verified CSE victims slightly declined in 2023, with Broward, Miami-Dade, Duval, Hillsborough, and Escambia among the highest-prevalence counties. Most verified victims were community youth rather than children already in care, though dependent youth had higher rates of prior maltreatment. OPPAGA also reported continued concerns about limited placement capacity, especially for less restrictive Tier 1 safe houses, and service gaps such as the need for survivor mentors. Its recommendations focused on expanding placement options, improving data collection, and strengthening collaboration to support survivor mentors. Finally, DCF presented the Step into Success pilot program for current and former foster youth ages 16 to 26. The program combines workforce education, professional development, and paid internships with mentor support; the first cohort launched in 2024 with 15 participants, all of whom secured placements, and the department reported strong satisfaction and early outcomes. Committee members asked about scalability, costs, and whether the model could be moved beyond DCF-run operations into community-based providers. DCF said the program was designed to be scalable, currently costs about $500,000 annually for the pilot, and could be expanded statewide with additional funding and partner support. The committee adjourned after the presentations.

Transcript Highlights:

• So again, if children in child welfare or in developmental and disability services or even in school
• And I think that—” “Developmental disability services. Thank you, Chelsea.
• And it's not always the most developmentally appropriate settings.
• I’m not qualified to treat a person with a developmental disability.”
• I can speak to the Office of Developmental Disability Services.

Keywords: 907, all

Transcript Highlights:

• dozen exceptionalities, including learning disabilities, intellectual disabilities, and other developmental
• other local governments for open meetings and public input, extends the district's instructional material
• other local governments for open meetings and public input, extends the district's instructional material

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and observed a moment of silence for Senator Geraldine Thompson. The committee first took up CS/SB 102, a bill by Senator Gates directing the Department of Education to develop a workforce credential program for students with autism spectrum disorder or students on a modified curriculum, in coordination with the Florida Center for Students with Unique Abilities and OSHA. Supporters said the bill would help autistic students gain job skills and workplace safety credentials, while an opponent argued the bill should clearly make participation voluntary, expand to other exceptional student groups, include funding, and add stronger accountability. The bill was reported favorably. The committee then considered SB 166, the Administrative Efficiency in Public Schools bill by Senator Simon. The bill would reduce or remove several state mandates and give districts more flexibility on testing, teacher evaluations, contracts and certification, school board operations, instructional materials timelines, audits, facilities planning, emergency make-up days, federal fund use, and public VPK oversight. Senators asked about the impact on student proficiency, teacher evaluations, and the transfer of public VPK oversight to districts; Simon said the tests would remain but count as 30 percent of the grade, districts would retain flexibility in evaluation measures, and only public VPK would shift to districts. Public testimony was largely supportive, with some speakers praising reduced testing and local control, while one senator cautioned that Florida still has a math proficiency problem. The bill was reported favorably. Finally, the committee heard CS/SB 296 by Senator Bradley, which would repeal the 2023 statewide mandate requiring later middle and high school start times and return the decision to local districts, while still requiring districts to inform the community about the health, safety, and academic impacts of sleep deprivation and consider later start times. Supporters argued the mandate created transportation, staffing, and scheduling problems and that local control was more practical, while opponents emphasized sleep science and the benefits of later start times for teens. Several senators discussed the tension between research and district resources, and the bill sponsor said the measure preserves the conversation about sleep while allowing local scheduling decisions. CS/SB 296 was reported favorably, and the committee then adjourned.

Transcript Highlights:

• Next on the agenda, item D, presentation on Developmental Disabilities Provider Association, DDPA.
• So, Developmental Disabilities Provider Association, DDPA. So you're welcome to come to the table.
• I'm Executive Director of Developmental Disabilities Provider Association. Good morning.
• So I guess there's no point maybe to explain what the developmental disabilities are in this group.
• IDD, intellectual and developmental disabilities.

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and discussed several vacant membership slots, including positions tied to the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian appointments. Members said they would try to fill the vacancies and, if not, include the issue in the legislative report and consider statutory changes in the next General Assembly. The task force then heard from the Developmental Disabilities Provider Association and Civitan Services about DDPA’s role in supporting 80 provider organizations serving more than 13,000 children and adults with intellectual and developmental disabilities across 75 counties. They described services such as early intervention day programs, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services, and said autism falls within the populations they serve. They also shared survey information on services used by older adults with IDD and offered contact information for providers. Members also heard a proposal to amend Act 656 of 2021 to add licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while noting that Arkansas Medicaid already pays for some of these evaluations. Task force members and Dr. Scott discussed the roles of psychologists, speech-language pathologists, and the possibility of using training or board oversight to ensure evaluators are properly qualified, with some noting that speech pathologists’ inclusion has historical and clinical roots. The task force also said it still needs a future discussion on fraud, plans to invite the Attorney General’s office, and wants to identify priorities for the 2027 session before adjourning.

Transcript Highlights:

• Transparency when lawyers submit materials, transparency when judges use artificial intelligence to arrive
• I've seen people who have submitted materials... I've, in my own practice, seen hallucinations.
• I've seen people who have submitted materials that, not long ago, I saw a citation to a code section
• And increasingly, technology has changed the way that offenders access and consume this type of material
• They now access child sexual abuse material through live streams and digital media rather than traditional

Keywords: 988, house, all

Transcript Highlights:

• He spent his life gathering all of the materials, books, and manuscripts, all of the things that you
• HE SPENT HIS LIFE GATHERING ALL OF THE MATERIALS, BOOKS AND MANUSCRIPTS ALL OF THE THINGS THAT YOU CAN
• I was requested a meeting by some self-advocates, people with developmental disabilities, at the resource
• In other countries and areas, people with developmental disabilities are being allowed to end their life

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, received messages and substitutions from the Assembly, and welcomed two new members, Senators Erik Bottcher and Jeremy Zellner. The chamber then adopted the resolution calendar and took up a privileged resolution sponsored by Majority Leader Stewart-Cousins memorializing Governor Hochul to proclaim February 2026 as Black History Month in New York. Senators Bailey, Baskin, Sanders, Scarcella-Spanton, Brisport, Parker, Cleare, Comrie, and others spoke in support, emphasizing Black history as American history, the importance of education and remembrance, and the contributions of Black New Yorkers and historical figures. The resolution was adopted, and the leader opened it for co-sponsorship. The Senate then moved to the bill calendar and passed several measures, including bills on civil procedure, urban development, labor, and public service law. One labor bill was substituted from the Assembly and passed. Several energy and utility-related bills drew debate, with supporters arguing they would improve affordability, utility rate-setting, and consumer protections, while opponents said they would not meaningfully lower costs and instead reflected broader policy choices. Senator Walczyk voted no on one utility bill, and Senators Tedisco and others criticized the package; Senators Mayer and Harckham defended the measures as needed reforms to utility regulation and return-on-equity standards. Most bills were approved by wide margins, including one public service bill that passed 53-9 and another that passed 61-1.

Transcript Highlights:

• The meeting materials have been online and made available for downloading.
• The meeting materials have been online and made available for downloading.
• We are working with our partners in the Department for Behavioral Health, Developmental and Intellectual
• I mentioned previously, we are working hand in hand with the Department for Behavioral Health, Developmental

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• Does the contract account for these time and materials, or is it deliverables-based?
• an ITB because at the time we knew what we wanted and the thought process was more of a time-and-materials-driven
• APD has the privilege to serve individuals with developmental disabilities as outlined in Florida statute
• With developmental disabilities is outlined in Florida statute.

Summary: The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided. The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track. The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate. Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.