Transcript Highlights:

• It just corrects some wording that was in it technically, and it stipulates that if a patient objects
• to an order for continuing treatment, the treatment agency, rather than the patient, has the burden
• It just corrects some wording that was in it technically, and it stipulates that if a patient objects
• to an order for continuing treatment, the treatment agency rather than the patient has the burden of
• I support the efforts of county superintendents in providing GED preparation to students who may prefer

Summary: The Senate met in several Committee of the Whole sessions to consider a large number of bills, with most measures receiving do-pass recommendations and several being amended before advancing. Early action included bills on fentanyl penalties (SB 1061), firearm suppressors/prohibited weapons (SB 1069), DCS attorney appearance and hotline/case-history access (SB 1081 and SB 1174), mandatory reporting and scrap metal theft (SB 1127 and SB 1128), and a narcotic-drug-to-minor offense bill (SB 1170). Senators Ortiz, Kuby, and others argued against the drug bills as harmful mandatory-minimum policies that would reduce judicial discretion and worsen addiction and incarceration outcomes, while supporters framed them as public-safety measures. SB 1170 ultimately failed on third reading; SB 1061, SB 1069, SB 1127, SB 1128, SB 1171, SB 1174, and SB 1188 passed, while SB 1021 later failed after concerns were raised about possible federal anti-kickback conflicts. The chamber also advanced health-care and regulatory measures, including chiropractic board compliance training (SB 1021), radiation protection and health-care institution requirements (SB 1120 and SB 1121), health care cost containment system changes (SB 1171), and pharmacy scheduling/prescription authority (SB 1188). Several of these bills were amended with technical changes or rulemaking authority, and most passed on third reading. SB 1243 and SB 1244 on court-ordered treatment also moved forward after amendments; supporters said the changes would improve notice and allow guardians or agencies to act more effectively, while opponents warned about due-process concerns and expanded coercive treatment authority. In later calendars, the Senate considered local planning and permitting (SB 1241), school access and GED preparation (SB 1166 and SB 1370), water and groundwater issues (SB 1202 and SB 1287), tax and finance measures (SB 1180, SB 1221, SB 1293, SB 1294, and SB 1429), and a constitutional resolution on legislative boundaries (SCR 1031). SB 1166 was amended to limit GED preparation to grades 11 and 12, SB 1241 and SB 1287 received technical amendments, and SB 1180 was clarified to align tax forms with federal conformity. SB 1075 on foreign entities and land sales drew the most debate: an Ortiz amendment would have shifted it toward corporate homebuyer restrictions and housing affordability, but that amendment was defeated on a roll call vote before the bill advanced as amended. Most remaining measures passed their third readings, with the Senate adopting Committee of the Whole reports and transmitting the approved bills to the House.

Transcript Highlights:

• Okay, it's up to your preference? Go back to Becker now? Becker's available. Okay.
• It's up to your preference? Chairman? Yeah. Okay.
• If a physician's own family cannot tell the difference, how can we expect our patients to?
• Patients, especially older adults and those with chronic conditions, are being targeted and misled.
• At its core, this is about protecting patients and preserving trust in health information.

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Summary: The committee convened for its first hearing, took roll, and heard several privacy- and AI-related bills. SB 1106 by Senator Cabaldon would shorten the Delete Act data broker deletion deadline from 45 days to 30 days; it drew support from a technology and democracy group, no opposition testimony, and was moved out on a due pass to Appropriations vote. SB 923 by Senator Becker would expand the CCPA deletion right to cover all personal information held by a business and require online-only businesses to offer a web form or similar method for privacy requests; supporters included the California Privacy Protection Agency and privacy advocates, while business groups raised concerns about scope, compliance, and the email/web-form requirement. The bill passed 6-0 to Appropriations, with some members noting they were laying off or wanted further amendments. The committee also heard SB 1142, the Digital Dignity Act, which would regulate digital replicas and deepfakes on large online platforms, including takedown and revocation procedures and penalties. Supporters said it would protect Californians from fraud, harassment, and nonconsensual synthetic likeness use; opponents, including the Motion Picture Association, CCIA, TechNet, and others, raised First Amendment, due process, Section 230, and overbreadth concerns, especially around deceased persons and the 48-hour takedown process. Members said they supported the bill but wanted further work before Judiciary, and it passed 6-0 as amended to Judiciary. The committee also adopted its rules without objection. Later, SB 867 by Senator Padilla would impose a four-year moratorium on the sale and manufacture of AI chatbot-powered toys for children, citing research showing unsafe, sexually explicit, or privacy-invasive behavior; child advocacy and consumer groups supported it, while retailers and civil justice groups sought narrower definitions and liability protections. It passed 7-0 to Appropriations. SB 1247 would give child influencers, once adults, a right to request deletion or modification of images and likenesses used in monetized social media content; it drew no support testimony but was opposed by a civil justice group over the creation of a new private right of action, and it passed 7-0 to Judiciary. SB 930, the consent-calendar item, was approved 7-0. The committee then heard SB 1114, which would restrict sharing of state-collected data related to LGBTQ Californians absent an enforceable order, with supporters arguing it would protect sensitive data from misuse by federal agencies and preserve trust in state programs. It passed 6-0 to Appropriations. SB 1159 would let local governments treat AI bots and agents differently from people for Brown Act, public records, and related civic participation laws, in response to AI-generated comment floods; supporters from environmental, local government, and nonprofit groups said it was needed to preserve human participation, while opponents argued the bill should focus on fraud rather than AI and warned about overreach. The bill passed 9-0 to Appropriations. Finally, SB 1050 would require disclosures when synthetic performers are used in advertisements; labor and consumer advocates supported it as a truth-in-advertising measure, while media and industry groups objected that it was overbroad and should be narrowed to misleading ads and aligned with existing law. Members signaled support for the bill’s goal but also raised concerns about scope and consistency with current false-advertising rules.

Transcript Highlights:

• Two minutes is preferred for testifiers as well.
• She was admired by patients and colleagues alike.
• We want to be able to do more for our patients, but we have so many more patients in line.
• How do you take care of patients safely?
• They really want to treat those patients.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Transcript Highlights:

• seeking care or trap patients in medical debt.
• Operationally, as a patient, it is terrible.
• Is it supposed to be a hospital against a patient?
• Patients need to be able to shop.
• They're often the first to greet patients seeking healthcare.

Bills: HB35 , HB138 , HB754 , HB1314 , HB1612 , HB2254 , HB2510 , HB2789 , HB3560 , HB3597 , HB4224 , HB4273 , HB4643 , HB4783 , HB138

Committee: Senate Health & Human Services

Transcript Highlights:

• What happened to worry about patients?
• </c> What happened to worry about patients? What happened to worry about patients?
• We are nationally recognized for our care management of rare disease patient populations.
• We are nationally recognized for our care management of rare disease patient populations.
• And so, so, so we... chiropractic care, there's patients that chiropractic care, there's patients that

Committee: Senate Health and Human Services

Transcript Highlights:

• I'll be there this afternoon seeing 15 to 16 patients tonight.
• </c><00:53:44.400><c> for</c> being used to check in patients for being used to check in patients for
• or too many to have many patients or too many patients<00:58:20.599><c> um</c><00:58:21.520><c> also
• It becomes computer care instead of patient care.
• It becomes computer care instead of patient care.

Committee: Senate Labor

Transcript Highlights:

• I think patients in every two years.
• </c><00:09:14.320><c> to</c> rules, I think it would be preferable to rules, I think it would be preferable
• The requirement will support both access to care and patient safety.
• It does include the patient care records.
• </c> does include the patient care records. does include the patient care records.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• </c> unconscious or anesthetized patient unconscious or anesthetized patient without<01:42:42.960><c>
• </c><01:42:55.840><c> is</c> obtained um if the patient is obtained um if the patient is unconscious<
• under anesthesia or unconscious patients under anesthesia or unconscious patients<01:43:11.239><c> should
• , requiring patients to give explicit informed consent prior to these educational exams.
• </c> for people doing bad things to patients for people doing bad things to patients this<01:50:15.400

Committee: Senate Health and Human Services

Transcript Highlights:

• , along with about 170 ALS patients.
• We just want to say thank you for making this real as a patient and patient advocate.
• of our patients like family.
• of our patients like family.
• So right now, if you're a proposed patient, that means you're a Title 36 patient.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• , along with about 170 ALS patients.
• , along with about 170 ALS patients.
• We just want to say thank you for making this real as a patient and patient advocate.
• of our patients like family.
• It simply expands patient choice.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.

Transcript Highlights:

• this extremely complex patient who’s very different than last year’s extremely complex patient.
• We're stuck with patients.
• So only 50% of Open Door's patients are Medi-Cal. The rest are Medicare or commercial patients.
• There's no benefit to patients.
• There's no benefit to patients.

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

Transcript Highlights:

• So we'll go ahead then to our patient, Mr. Ward. Not our patient, as in medical patient.
• Our very patient individual. Not our patient, as in medical patient.
• It does not mandate preferences.
• This approach sadly misses opportunities to prevent patient harm.
• The bill would eliminate the most basic patient safety protection.

Summary: The committee heard testimony on several bills related to reproductive access, child safety online, immigration enforcement in schools, health privacy, location data, digital provenance, reparations, and age assurance. AB 54 would protect the medication abortion supply chain and shield providers and others from liability; AB 1137 would strengthen reporting and enforcement tools for child sexual abuse material on social media; AB 49 would limit ICE activity at California public schools; AB 82 would expand privacy and safety protections for gender-affirming care patients and providers; AB 1355 would restrict the collection, use, and sale of precise location data; AB 853 would expand provenance requirements for AI-generated and authentic content; AB 62 would create a pathway for restitution for racially biased eminent domain takings; and AB 1043 would create a device-based age assurance framework for online services. Supporters generally framed the bills as necessary responses to current harms: reproductive rights advocates emphasized California’s role as a safe haven; child safety witnesses described the persistence and re-victimization caused by CSAM online; immigrant rights and education advocates said schools should remain safe from immigration enforcement; health and LGBTQ+ advocates stressed privacy and safety risks tied to tracking and harassment; privacy and consumer groups backed limits on location data and stronger provenance tools; and reparations advocates said AB 62 would help address historic injustices. Opposition came from family policy, tech, business, law enforcement, and industry groups, who raised concerns about safety claims, constitutional issues, implementation burdens, transparency, law enforcement access, and the need to preserve existing privacy frameworks and voluntary standards. The committee members largely expressed support for the policy goals while noting implementation concerns on some measures. Several members asked for or were offered coauthor status on bills. AB 1137, AB 54, AB 49, AB 82, AB 1355, AB 853, and AB 62 all received do-pass votes to Appropriations, with some members voting no or not voting on certain bills. AB 1355 and AB 853 were advanced with amendments or ongoing work promised with opponents, and AB 1043 was presented with discussion of possible amendments on parental consent and age assurance details, though the transcript cuts off before final action on that bill.

Transcript Highlights:

• I don't see that it would decrease access to patient care.
• No wasted doctor time, no remake costs, and no frustrated patients.
• Every unnecessary patient return is a loss of time and revenue.
• Every unnecessary patient return is a loss of time and revenue.
• , there's a balance owed to the patient, to the Floridian.

Committee: Senate Health Policy

Summary: The Health Policy Committee heard and advanced several health-related bills. SB 1546 on background screening for athletic coaches was explained as another extension of the deadline for coaches to be added to the background screening clearinghouse; it passed favorably with support from athletic and youth sports organizations. SB 958 on type 1 diabetes early detection was amended to match the House version, requiring the Department of Health to provide school districts, school boards, and charter schools with informational materials for parents; it was reported favorably as a committee substitute. CS/SB 1070 on electrocardiograms for student athletes drew extensive discussion about sudden cardiac arrest prevention, implementation timelines, costs, funding through private and public sources, and whether insurance, KidCare, or Medicaid should cover screenings; after supportive testimony from school and athletic groups, it was reported favorably as a committee substitute. The committee also heard SB 1060, which would create a joint legislative oversight committee for Medicaid managed care to review encounter data, financials, audits, and rebate calculations with assistance from an actuary and the Auditor General. The sponsor and several senators framed it as a transparency and verification measure in response to large mid-year Medicaid funding increases and concerns about network adequacy and vertical integration; it passed favorably. CS/SB 944, which shortens the insurer overpayment recovery look-back period for claims involving psychologists from 30 months to 12 months, also passed favorably with support from the Florida Psychological Association. SB 1370, moving ambulatory surgical centers into their own statute rather than under hospital licensure provisions, was supported by surgery center representatives and reported favorably. The committee approved SB 768, as amended, to narrow the foreign-country-of-concern licensure attestation for health care entities to direct controlling interests and clarify the “reasonable efforts” standard; it passed after questions about how the standard would work in practice. SB 1544 on opticianry prompted significant debate over whether the bill would limit nonlicensed staff in ophthalmology and optometry settings; after a proposed amendment was withdrawn and multiple witnesses spoke both for and against, the bill was temporarily postponed. Finally, the committee adopted a strike-all amendment to SB 1808 requiring health care practitioners and facilities to refund patient overpayments within 30 days, with enforcement through AHCA fines or professional discipline, and then reported the bill favorably.

Transcript Highlights:

• Patients throughout the care continuum.
• able and willing to accept the patient.
• Then they must get approval for the patient to go to the facility able to admit the patient.
• For the patient to go to the facility able to admit the patient.
• Island Health delivers roughly 400 babies each year, and it is the preferred birthing center for patients

Bills: HB2689 , SB5832 , SB5922 , SB5944 , SB5988 , SB6151

Committee: House Appropriations

Keywords: Working Connections Child Care, child care subsidy, subsidized child care, Washington DCYF, Department of Children, Youth, and Families, low-income families, child care providers, licensed child care centers, family child care, market rate survey, subsidy rates, income eligibility, state median income, SNAP, Basic Food, collective bargaining, provider reimbursement, daily payment, half-day care, partial-day care

Transcript Highlights:

• </c> the patient. the patient.
• </c> of premiums go directly toward patient of premiums go directly toward patient care.<00:53:30.800
• </c><00:53:57.520><c> if</c> and requires refunds to patients if and requires refunds to patients if
• Many rural dentist to patient ratios.
• </c> and ultimately hurts patients. and ultimately hurts patients.

Bills: SB170 , SB177 , SB207 , SB208 , SB215 , HB27 , SB219 , SB247 , SB232 , SB81 , SB170 , SB177 , SB207 , SB208 , SB215 , HB27 , SB219 , SB247 , SB232 , SB81

Committee: Senate Banking and Insurance

Keywords: health insurance, health savings account, high deductible plans, federal regulations, cost-sharing, insurance law, breast cancer, health coverage, deductible, copayment, insurance, captive insurance, captive insurer, captive insurers, insurance regulation, Alabama Department of Insurance, insurance commissioner, premium tax, capital requirements, surplus requirements

Transcript Highlights:

• So there should be a guarantee of patient privacy. There should be no commercialization.
• So there should be a guarantee of patient privacy. There should be no commercialization.
• So there should be a guarantee of patient privacy. There should be no commercialization.
• So there should be a guarantee of patient privacy. There should be no commercialization.
• </c> you prefer. you prefer. &gt;&gt; Thank<01:15:08.320><c> you,</c><01:15:08.560><c> Chair.

Summary: The committee met with a quorum, approved the prior meeting minutes, and then heard testimony on the use of artificial intelligence in therapy and mental health settings. Representative Lisa Willner and Brenda Rosen of NASW Kentucky argued for “guard rails” on AI chatbots so they cannot present themselves as licensed therapists or replace school counselors, psychologists, or social workers. They said AI can support licensed professionals, but warned that chatbots cannot reliably recognize nonverbal cues, escalate crises, or provide accountable care, and they cited examples of harmful chatbot interactions, including a suicide case and a chatbot telling a user to “Please die.” The witnesses also raised concerns about data privacy, commercialization of sensitive mental health conversations, and the use of personal clinical content to train AI models. They said minors should require parental consent and suggested transparency about how a chatbot is trained and who created it. They distinguished between unvetted consumer chatbots and AI tools that have been scientifically validated or approved as digital therapeutics, noting that some evidence-based tools may be useful for specific conditions such as depression, anxiety, or eating disorders. Committee members asked whether regulation should be handled by the legislature or by professional boards, and whether a multi-state model would be preferable to 50 different state approaches. The witnesses generally favored expert-led standards and said a board or panel of experts could review and approve mental health chatbots, but members cautioned that boards can become too restrictive and that legislation should preserve flexibility and avoid discouraging children from seeking help. The discussion ended with a request for the witnesses to restate their proposed policy ideas, including privacy protections, bans on commercialization, limits on training AI with clinical content, transparency requirements, and informed consent.

Transcript Highlights:

• </c><00:41:02.440><c> be</c><00:41:02.520><c> able</c> patients and have your patients be able patients
• </c><00:42:11.319><c> and</c> patient the choice let's the patient and patient the choice let's the patient
• This should be a patient-and-provider, patient-and-nurse, patient-and-doctor-run health care system.
• This should be a patient-and-provider, patient-and-nurse, patient-and-doctor-run health care system.
• </c><00:47:23.680><c> in</c> provider patient in nurse patient in provider patient in nurse patient in

Committee: Senate Health and Human Services

Transcript Highlights:

• Is it a fair assessment to say that this is really patient-focused in making sure that folks have greater
• It creates the uniform health care decisions, which expands the choices patients have for how they communicate
• their preferences for care and improves clarity and accessibility for medical decision-making at the

Bills: HB3976 , HB3000 , HB3001 , HB3003 , HB3004 , HB3066 , HB3904 , HB3644 , HB1687 , HB3920

Committee: Senate Health and Human Services

Summary: The Senate Health and Human Services Committee met to consider several House bills, beginning with a series of sunset extensions for professional licensing and review boards. House Bill 3000 extended the State Board of Cosmetology and Barbering to 2031 after brief questions about prior executive-branch efforts to improve board transparency; House Bill 3001 extended the Child Death Review Board to 2031; House Bill 3003 extended the Board of Chiropractic Examiners to 2031; and House Bill 3004 extended the Board of Examiners in Optometry to 2031. Each of these bills advanced on unanimous 9-0 votes. The committee also advanced House Bill 366, which creates a revolving fund at the Health Care Workforce Training Commission to receive rural health transformation funds. Members asked about the timing and distribution of the funds, but no timeline was available. House Bill 3904 changed prenatal delivery and postpartum services from a global payment model to individualized payments, with supporters saying it would improve access to local and rural prenatal care and could help hospitals qualify for birth-friendly designations and related funding. That bill also passed 9-0. Two health-related policy bills were amended in committee and advanced. House Bill 3644, the Blake Burgess Act, requires certain hospitals to adopt policies to prevent venous thromboembolism; members asked whether the required report would be public, and the author said that was the intent. House Bill 1687, the Uniform Health Care Decisions Act, replaces older advance directive and health care agent laws with a single framework for end-of-life decision-making, with committee substitute changes adding safeguards and clarifying surrogate authority. House Bill 3920 created a sales tax exemption for LifeShare Network, matching an exemption already given to the Oklahoma Blood Institute, and it also passed after supportive testimony. All measures considered were reported out favorably, and the committee adjourned after announcing it would meet again the following week.

Transcript Highlights:

• to patient.
• So these CAR-T patients, where you engineer T-cells and can rescue patients that otherwise are at end
• One, do you give Floridians preference over patients from outside the state?
• is around 11 million patients.
• These treatments are absolutely critical, especially if you're a patient or a loved one of a patient.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.

Transcript Highlights:

• So there's not really a preferred list of vendors, but there are, like I said, it's open to anyone to
• </c><00:42:01.520><c> list</c><00:42:01.880><c> of</c> there's not really a preferred list of there's
• She added that the other item is for medical services for patients and residents.
• The witness explained that it is for residents or patients within the hospital who have to go outside
• </c><01:04:27.160><c> and</c> services for our patients and services for our patients and residents<01

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.