Transcript Highlights:

• Both both programs. >> correct? Both both programs.
• </c> companies will bring to this program. companies will bring to this program.
• </c> managing the program. managing the program.
• . program. program.
• with a Medicaid program.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• This is going to be an overview of the Community Services Block Grant program.
• as public benefit programs subject to immigration-status verification, including programs that have
• , initiate new service programs, and expand their capacity to self-determine the programs that they need
• contract, the Senior Nutrition Program, Meals on Wheels program, the Energy Efficiency Training Academy
• They lost the Head Start project contract, the Senior Nutrition Program, Meals on Wheels program, the

Summary: The Senate and Assembly Human Services Committees held a special oversight hearing on California’s 2026-27 Community Services Block Grant (CSBG) state plan, a federal anti-poverty funding stream. Committee members opened by citing statewide poverty and homelessness data and said the hearing was meant to review how CSBG dollars are used, how local agencies respond to community needs, and how the state is preparing for possible federal funding cuts. Jason Wimbley of the Department of Community Services and Development (CSD) explained that California’s CSBG network works through 60 organizations in 58 counties, serving about 1.5 million low-income Californians in 2023, and that the state received $68.4 million in federal CSBG funds in fiscal year 2025. He described the program as flexible funding used for housing, employment, education, food, health, transportation, and emergency response, and noted that the federal administration had proposed eliminating CSBG, though the Senate Appropriations Committee had voted to fully fund it for the coming year. Representatives from the California Community Action Partnership Association and several CSBG-funded agencies described how the program supports local anti-poverty work and leverages other funding. CalCAPA emphasized local flexibility, workforce development, partnerships, and data systems such as ROMA, while also warning that agencies are preparing for possible reductions by tightening budgets, planning staffing contingencies, and seeking private foundation support. Agency witnesses from Contra Costa County, Northern California Indian Development Council, Proteus, and Sacred Heart Community Service described services including housing assistance, food distribution, utility help, employment training, youth programs, and culturally specific services for Native communities and migrant farmworkers. They repeatedly said CSBG is essential because it funds staffing and infrastructure that allow them to braid other grants and serve people who do not qualify for standard safety-net programs. Members also asked about the impact of federal staffing changes and the Los Angeles fires. Wimbley said federal layoffs had affected some CSD programs but not CSBG administration, and that the department coordinated disaster response with state agencies and used CSBG-funded supply distribution, food, water, clothing, and documentation support during the fires. Witnesses said they were preparing for possible future cuts by diversifying funding, reducing expenses, and considering service changes, while county officials warned that state and federal reductions could not be backfilled locally. During public comment, one speaker urged stronger oversight of community action agencies and raised concerns about transparency and compliance with state law. The chair then thanked the witnesses, emphasized the importance of CSBG for low-income seniors, youth, and people with disabilities, and adjourned the hearing without any votes or formal action taken.

Transcript Highlights:

• In the National School Lunch Program and Breakfast Program, you all are paying the difference between
• This program is different from the Teacher Residency Program because these aspiring teachers do not have
• Expand or remodel for a CTE program?
• program.
• Four out of five educator fellows, Grow Your Own, clinical programs. How are those programs?

Committee: House House Appropriations & Finance

Transcript Highlights:

• Program Youth Internship Program 500,000.<00:25:54.960><c> STEM</c><00:25:55.600><c> grants</c><00:25
• </c> personnel for um the whole new program. personnel for um the whole new program.
• So, in other words, this program is not a high-contact, custom, tailored program that offers in-person
• ><c> participants</c> other words, uh program participants other words, uh program participants most<
• offers</c> um tailored uh program that offers um tailored uh program that offers inerson<00:42:53.359

Committee: Senate Jobs and Economic Development

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:03:00.120><c> we</c> left we have 150 different programs we left we have 150 different programs
• </c> pharmacist to photomy so our programs pharmacist to photomy so our programs can<00:03:28.280><c>
• The long-term program has been in Rochester; it goes back all the way to 1978 when the program started
• </c> the expenses of running the program the expenses of running the program things<00:13:56.240><c>
• </c><00:15:27.839><c> as</c> program is paying for the program as program is paying for the program as

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• </c> that we do operationalize the program that we do operationalize the program um,<00:03:03.200><c>
• , not only for these state-run auto IRAs, but also in 401(k) programs and all retirement savings programs
• ><c> programs.
• And as the expenses of operating the program are much less and, again, a more efficient program than
• As the expenses of operating the program are much less and, again, a more efficient program than as the

Committee: Senate Labor and Technology

Keywords: 912, senate, all

Summary: The Labor and Technology Committee met on April 4, 2025, to consider four governor’s messages involving nominations to the Hawaii Retirement Savings Board and the Hawaii Workforce Development Council. Barbara Creek, nominated to the Retirement Savings Board for a term ending June 30, 2029, testified that she had already served two years on the board, had prior experience with deferred compensation plans, and wanted to help operationalize the program quickly and efficiently. In response to a question about Senate Bill 855, she explained that an opt-out auto-enrollment model is the gold standard for retirement savings programs, would increase participation and contributions, and would help Hawaii avoid being an outlier and improve the chances of joining a multi-state compact for a cost-effective program. Amber Aana, nominated to the Workforce Development Council for a term ending June 30, 2029, emphasized her maritime-industry background and commitment to diversity, inclusion, and training opportunities for women and underrepresented groups. Scott Collins, nominated to the same council for a term ending June 30, 2028, said he had served on the board since 2022 and could contribute public-sector and union experience to help address government workforce challenges. Pane Mayonga II, also nominated to the Workforce Development Council for a term ending June 30, 2029, was absent due to union travel, but the committee heard extensive testimony in support from labor, industry, and community representatives. Support testimony was recorded for all four nominees, including from the Department of Labor and Industrial Relations, United Public Workers, Hawaii State AFL-CIO, Hawaii Nurses Association, Hawaii Ports Maritime Council, and other organizations and individuals. For Pane Mayonga II, the committee noted support from a broad coalition including labor unions, maritime and construction groups, and community advocates. No opposition testimony was presented, and members did not raise substantive questions on the Workforce Development Council nominees. After a brief recess, the committee reconvened for decision-making and voted to recommend advice and consent on all four governor’s messages: GM 727 for Barbara Creek, GM 744 for Amber Aana, GM 717 for Scott Collins, and GM 728 for Pane Mayonga II. Each recommendation was adopted unanimously, and the committee congratulated the nominees before adjourning with no further business.

Transcript Highlights:

• So DEED does annual program summaries that give all the metrics on the programs.
• , this program was originally drafted as a grant program.
• As a grant program.
• </c> need for two loan programs? need for two loan programs?
• The NDC changes you'll see are to the grant program, the Promise Grant program.

Keywords: 1187, senate, all

Transcript Highlights:

• Program, or CFAP.
• were on the federal program.
• So I just wanted to rename the program that was referenced, the California Nutrition Incentive Program
• and the Commodity Supplemental Food Program, also known as CSFP or the Senior Food Program.
• Our staff do multiple programs.

Summary: The committee held its second hearing on CalFresh enrollment and nutrition, focused on the effects of H.R. 1 on eligibility, administration, and food access in California. The Legislative Analyst’s Office and the Department of Social Services outlined major federal changes: expanded work requirements for able-bodied adults without dependents, narrowed eligibility for certain lawfully present non-citizens, and new state and county cost-sharing for both administrative and benefit costs. Officials said about 665,000 Californians could lose benefits under the work requirement, roughly 72,000 non-citizens could lose eligibility, and California could face hundreds of millions to billions in new costs depending on error rates and implementation details. DSS described its mitigation efforts, including county guidance, trainings, automation, outreach materials, and coordination with workforce programs, while county representatives argued the workload is larger than current funding assumptions and that staffing and training needs are urgent. Members also heard from a CalFresh recipient, Lauren Keltz, who described how benefits helped her family during her daughter’s medical crisis and how a clerical error led to the loss of food, health, and cash assistance, contributing to homelessness and food insecurity. Her testimony was used to underscore the consequences of administrative errors and benefit disruptions. Grocery and agriculture representatives said CalFresh is not only an anti-hunger program but also a major economic driver, with benefits spent locally at grocery stores, farmers markets, and farm stands. They warned that cuts would reduce demand for fresh food, hurt independent grocers and small farmers, and increase reliance on food banks, while urging continued support for market match and farm-to-food-bank programs. In the second panel, advocates and local administrators emphasized the human and operational impacts of the federal changes. The California Immigrant Policy Center called for expanding the state-funded California Food Assistance Program to cover more immigrants excluded by H.R. 1. A San Francisco eligibility worker and a San Diego county administrator said the new rules will add substantial casework, require more client outreach and exemption screening, and strain already limited staffing. Justice in Aging stressed that CalFresh is a key anti-hunger tool for older adults and people with disabilities, especially as housing and health costs rise, and supported outreach funding for seniors. Throughout the hearing, members discussed the need for state funding, better automation, and stronger county and community partnerships to reduce disenrollment and protect access to food.

Transcript Highlights:

• </c> Carbon Program. Carbon Program.
• </c> us in the program. us in the program.
• </c> in our program. in our program.
• . program. program.
• . programs. programs.

Keywords: 1189, house, all

Summary: The meeting began with introductions and approval of the previous minutes, including a small amendment clarifying a note about “leakage” in a prior presentation. The committee then heard a presentation from Sarah Hall of the American Forest Foundation on the Family Forest Carbon Program, which she described as a voluntary carbon and forest management program for smaller landowners. She said the program provides annual payments and technical assistance, requires a forest management plan within two years, and is designed to support improved forest management while still allowing compatible uses such as recreation, hunting, and some harvesting. Hall emphasized that the program is intended as one tool among many and is not a fit for every property. She said most enrolled landowners did not previously have a forest management plan or work with a forester, and that the program helps bring “unengaged” landowners into active management. She also said the program is compatible with current use and other commitments on a case-by-case basis, and that landowners retain ownership of their land and timber rights while AFF holds the carbon rights for the contract term. She highlighted examples of landowners using the program to support taxes, family ownership, wildlife habitat, timber stand improvement, and continued recreational or business uses. Committee members asked about registry compliance in New Hampshire and the relationship between carbon markets and the program. Hall responded that AFF handles registry administration for landowners and would follow up on the specific registry count raised by a member. She explained that the program is funded through a mix of carbon market revenue, philanthropy, and grants, and that carbon credits are generated through landscape-level methodology and monitored using randomly selected plots compared with FIA data. She also noted that consulting foresters are key partners in the program and that AFF has paid more than $3 million to consultants nationwide.

Transcript Highlights:

• program.
• an all-offender program.
• We think you should be prioritizing these cost-effective programs like the farmer program.
• of the Cap-and-Trade Program.
• the two transit programs.

Keywords: 988, house, all

Transcript Highlights:

• Promise program, even as the program absorbs some of the parameter changes made in the state grant.
• So overall really grant program.
• been a priority of uh And training programs and then also to the rural vet program.
• We've seen a lot of these programs like the ending campus hunger program, the different basic needs programs
• We've seen a lot of these programs like the ending campus hunger program, the different basic needs programs

Committee: Senate Finance

Keywords: 1187, senate, all

Transcript Highlights:

• </c> the Medicare Medicaid Savings Program the Medicare Medicaid Savings Program the<01:03:41.880><c>
• </c><01:28:40.800><c> SOA</c><01:28:41.280><c> program</c> homeless and soota program SOA program homeless
• </c> our program the return to home program our program the return to home program that<01:29:16.119>
• This program has been a hit. It's a pilot program. It is focused on women.
• So many good programs, and so expensive. So many good programs, and so expensive.

Committee: House Human Services & Homelessness

Keywords: 910, house, all

Summary: The House Committee on Human Services and Homelessness met on February 6, 2025, and heard testimony on several measures. HB 44, which would appropriate funds to the Department of Human Services to work with community-based organizations on social services needs, drew broad support from nonprofit providers and coalitions that said contracts and reimbursement rates have not kept pace with the actual cost of services, leaving agencies unable to retain staff or meet demand. DHS said it supported the bill’s intent but asked for clarification because the language was broad and did not specify which organizations or how funds should be allocated. Committee members and the bill’s introducer discussed how to make the measure more specific and equitable, including whether to set a percentage increase, use a baseline date, and direct DHS to distribute funds among different program areas; the True Cost Coalition and DHS agreed to follow up in writing with proposed language and a funding number. The committee then heard HB 1349, which would authorize Medicaid/CHIP coverage for income-qualified pregnant persons and children regardless of immigration status. Supporters, including the Legal Clinic, Aloha Care, and the Hawaiʻi Coalition for Immigrant Rights, said the bill would improve prenatal and child health, reduce the chilling effect of immigration enforcement on care-seeking, and help prevent premature or underweight births by ensuring earlier access to providers. DHS provided comments and the committee asked where the measure would fit in the budget; the department identified the relevant budget code. Written testimony in support came from multiple advocacy and health organizations and dozens of individuals. Finally, the committee heard HB 613, which would appropriate funds to DHS for emergency shelter and services for unaccompanied homeless youth. The Office of the Public Defender, the Statewide Office of Homelessness and Housing Solutions, the Office of Youth Services, Rise, the Hawaiʻi State LGBTQ+ Commission, and others supported the bill, emphasizing youth homelessness, the need for coordinated shelter and outreach, and the high share of LGBTQ+ youth among homeless minors. OYS asked that the committee consider funding its existing Safe Spaces pilot rather than creating a new program, while DHS said it supported the intent but wanted clarification because multiple department programs could be implicated. No votes were taken during the hearing; the chair instead requested follow-up language and funding information for HB 44 and continued the measures for further consideration.

Transcript Highlights:

• . programs. programs.
• </c> JFA program. JFA program.
• </c> Scholar Program. Scholar Program.
• this program.
• for this program.

Keywords: 958, all

Summary: The Free Conference Committee on the 2026 General Assembly budget met to reconcile differences between the House and Senate versions of House Bill 500. Leaders opened by thanking the other chamber’s work, asking members to turn microphones on and off to avoid feedback, and stressing the need to clearly note decision points so both chambers record the same actions. Staff then walked through the bill page by page, explaining that the committee was comparing only House and Senate differences, not the governor’s proposed budget. The discussion covered a wide range of appropriations and language items, including next generation non-911 services, school safety reporting tools, restored funding for brain injury, epilepsy, veteran service, homeless veterans, and rocket docket programs, debt service changes, rural infrastructure, disaster aid caps, Attorney General and Medicaid fraud funding, agriculture and county fair grants, auditor and pension-related appropriations, school facilities and SEEK funding, and numerous education programs. Members also discussed charter-related funding such as Star Academy, Dolly Parton Imagination Library, school resource officers, school-based mental health providers, AP/IB exams, Governor’s Scholars and Entrepreneurs, and several pilot or initiative programs in economic development, energy, and labor. Several items were described as technical corrections or restorations of language and funding, while others reflected differences in amounts or how funds would be distributed. There were several questions and comments from members about wording such as “implement and carry out,” the absence of the governor’s budget from the comparison document, and whether SEEK funding should be tied to teacher raises. The chair and other members emphasized that the committee’s role was to reconcile the two chambers’ budgets, not to adopt the governor’s proposal. Members also raised concerns about opioid settlement funds and the Dolly Parton Imagination Library match rate, with one senator urging restoration of the House language. No final vote or formal action was taken in the portion provided; the meeting primarily consisted of explanation, questions, and discussion of proposed budget differences.

Transcript Highlights:

• as the program of last resort.
• benefits, and eligibility requirements of each of the programs, as well as program infrastructure.
• So, as I mentioned, with these programs declining in enrollment, a number of programs have limited the
• benefits, and eligibility requirements of each of the programs, as well as program infrastructure.
• So, as I mentioned, with these programs declining in enrollment, a number of programs have limited the

Summary: The hearing focused on the expected health coverage losses tied to H.R. 1, the resulting pressure on California’s county indigent care systems, and what data and policy changes the Legislature may need before the next budget cycle. Chair Hart and Assemblymember Addis framed the issue as a major rollback in coverage that could leave more Californians uninsured and push more people into county safety-net programs. Members repeatedly emphasized the need for baseline, county-by-county data on eligibility, benefits, caseloads, and funding before making larger structural decisions. The Legislative Analyst’s Office explained the history of county indigent care under Welfare and Institutions Code 17000, the shift in funding through 1991 realignment, and the later redirection of funds to CalWORKs. LAO said county programs vary widely in scope and eligibility, that current realignment funding does not automatically rise with demand, and that the Legislature faces tradeoffs if it changes the funding structure. Administration witnesses from Finance and DHCS projected large Medi-Cal and Covered California enrollment losses, with DHCS estimating more than 1 million Medi-Cal members could eventually lose coverage under work requirements and redeterminations, and noting that a new federal rule could make exemptions more restrictive. Officials also said there is no single statewide real-time data system for uninsured or indigent care populations, though some hospital and utilization data exists with significant lags. County representatives from Santa Barbara, San Diego, and Tulare described how their indigent care programs are being rebuilt or strained after years of low demand. They warned that many newly uninsured residents will need only basic, emergency-oriented care under county programs, not the preventive and continuous care available through Medi-Cal, and said that without new state support counties may have to divert funds from public health or reduce other services. Several counties asked for bridge funding, technical statutory changes, and flexibility to adjust realignment methodology. The California Health Care Foundation closed by arguing that the problem is statewide and needs a statewide solution rather than a patchwork county response.

Transcript Highlights:

• </c> over the time of the interlock program over the time of the interlock program and<00:12:24.560><
• And then program properly.
• </c> use that car to uh be in the program. use that car to uh be in the program.
• </c> program and I have to agree with Mr. program and I have to agree with Mr.
• You can't wait it out or program.

Committee: Senate Transportation

Keywords: 1187, senate, all

Transcript Highlights:

• It began back in 2023 program.
• </c> farmer down payment assistance program. farmer down payment assistance program.
• </c> this program. this program.
• </c><00:36:26.720><c> time,</c> program, this new program over time, program, this new program over time
• </c> so that the program could survive. so that the program could survive.

Keywords: 1183, house

Transcript Highlights:

• program.
• We do have programs that do both. And so typically what you see there is it'll be an ABC program.
• That is the biggest difference between the programs: on staffing for the ABC program, there has to be
• I feel like we have shifted from federal program to state program and vice versa what makes sense.
• I feel like we have shifted from federal program to state program and vice versa what makes sense.

Committee: All EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE

Summary: The Early Childhood Committee met to receive an update from the Office of Early Childhood on Arkansas child care and early learning programs. Committee members discussed the state’s child care crisis, including reported economic losses from lack of access, the need to track access, affordability, workforce shortages, rural and infant/toddler care gaps, and the role of local leads in identifying needs across the state. The committee also approved the February 17 minutes. Office of Early Childhood staff explained their responsibilities under the LEARNS Act, including kindergarten readiness, provider quality, and access to affordable seats. They reviewed licensing, quality efforts, and the two main funding streams: School Readiness Assistance (SRA), a federally funded voucher program serving about 14,600 children with a wait list of more than 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 23,000 children, with approval to increase to 24,000 slots. Members asked about the difference between market rate surveys and cost analyses, and staff said the office is procuring both, with results expected by the end of the year. Several members raised concerns about funding levels, especially that ABC reimbursement has not kept pace with K-12 funding increases and that child care reimbursement remains below the true cost of care. Staff said ABC requires certified teachers and lower ratios than SRA, but pays less, and that some federal pre-K slots were moved into ABC to preserve continuity of care. They also explained that SRA eligibility changes, including a higher work requirement and ending a child care worker eligibility category, were made to reduce spending and serve families on the wait list. The committee discussed communication with providers and parents, technical assistance for centers, and possible future legislative action to stabilize providers and expand access, but no votes or formal actions were taken beyond approving the minutes and adjournment.

Transcript Highlights:

• </c> Partnership Program. Partnership Program.
• There are also two other authorized programs under the MJSP program: the pathways program, which is essentially
• Program uh is a program that Partnership Program uh is a program that uh<00:25:27.679><c> as</c><00:
• </c><00:26:47.520><c> the</c> programs under the MJSP program. the programs under the MJSP program. the
• and that program.

Bills: HF2440

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: labor market, employment, economic development, funding, data analysis, 1183, house

Transcript Highlights:

• and other financial aid programs.
• programs?
• can be enrolled in the program.
• , these programs, especially Florida Forever, for water and land conservation programs, these programs
• or this program to be impactful.

Summary: The House convened with prayer, a moment of silence for former Senator Don Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. The chamber announced it would take up 11 budget conference committee reports, with no third-reading bills or special-order calendar items. Members were reminded that conference reports were subject to debate but not amendment, and that the required review periods had been satisfied. The first major action was on HB 7031E, the tax package. Representative Duggan explained that the conference report included a mix of retained, modified, and new tax provisions, including sales tax holidays, property tax and homestead-related changes, reductions in certain gaming and carbon-related taxes, changes to child care and documentary stamp tax credits, a new refund process for public works construction tax paid by universities and colleges, and other tax administration changes. Debate focused on the bill’s consumer impact, the reduction of the child tax credit from three years to one, the inclusion of firearm accessories in a sales tax holiday, the absence of gas tax relief and combined reporting, and the homestead exemption provision for certain deployed diplomatic and foreign service personnel. Critics argued the package favored niche or corporate interests over broad affordability relief, while supporters said it provided targeted tax relief and reflected conference negotiations. The House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began presenting the conference report for HB 501E, the state budget, which totaled $114.5 billion for fiscal year 2026-27 and was described as below the prior year’s spending level while maintaining reserves. Subcommittee chairs outlined major budget areas: pre-K-12 funding included an increase in FEFP, salary increases for veteran teachers, stabilization funding, and support for declining enrollment; higher education included full Bright Futures funding, workforce programs, college operating support, university initiatives, and school guardian expansion; IT funding focused on Palm, ACCESS, APD’s I-Connect replacement, corrections systems, emergency management systems, and cybersecurity grants; health care funding covered Medicaid, nursing home rates, waiver provider increases, ADAP funding and restructuring, child welfare, and behavioral health; transportation and economic development included housing, cultural grants, jobs and rural infrastructure, Visit Florida, Space Florida, highway patrol equipment, and local transportation projects; justice funding included correctional construction, juvenile justice facilities, law enforcement grants, and clerk and due process reimbursements; state administration included fire stations, constrained counties, building maintenance, and Safe Florida Home; and agriculture/natural resources funding emphasized Everglades restoration, water quality, land acquisition, Florida Forever, state parks, and citrus research. Members then began questioning the budget details, including school voucher accountability, school funding formulas, public defender parity, prison technology, wastewater monitoring in prisons, ADAP policy, SNAP fraud controls and AI-assisted verification, Florida Forever funding, school lunch funding, and coral reef restoration. No final vote on HB 501E appears in the transcript excerpt.

Transcript Highlights:

• We believe this bill treats private programs differently than public programs and working.
• For example, Senator Harrell mentioned program directors and the discipline of program directors.
• We represent a very, very large program, nurses, programs all around the country.
• We represent a very large program, nurses, programs all around the country.
• , all nursing programs.

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.