Video & Transcript Research : 'screening'
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FL
Transcript Highlights:
- to strengthen and modernize one of the state's most critical public safety tools: the background screening
- nearly one million screenings on average within two business days.
- This turnaround time is inclusive of the 300,000 new screenings we had to process in 2025 as a result
- of the transition of background screenings from the Department of Education to the agency.
- I do want to commend you on the background screening clearinghouse.
Summary:
The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no.
The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate.
Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 11th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- The bill ensures that a patient who needs follow-up breast screenings is not forced to pay for those
- necessary screenings due to the high out-of-pocket costs.
- from accessing the full benefits of early detection, limiting the effectiveness of breast cancer screening
- If you have an ACA-compliant plan, screening colonoscopy has a zero cost share.
- There's a $30 copay if they don't follow under the regular mammogram screening, and their maximum, if
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright.
Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage.
Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.
FL
Florida 2025 Regular Session
October 7, 2025 - 01:30 PM
Transcript Highlights:
- Family Protection Act to improve screening and treatment for and prevention.
- This legislation establishes new statewide requirements for screening training and reporting to improve
- emergency departments and ambulatory surgical centers are required to develop policies and train staff to screen
AL
Alabama 2025 Regular Session
Alabama Senate Veterans, Military Affairs and Public Safety Committee Apr 3rd, 2025
Veterans, Military Affairs, and Public Safety
Transcript Highlights:
- like it was really important to address traumatic brain injury to make sure we're assessing and screening
- So being able to screen and assess on the front end whether or not... assess on the front end whether
- They have a very close partnership with the Department of Veterans Affairs, and the screening tool literally
Keywords:
criminal enterprise, database, law enforcement, crime management, Alabama law, impoundment, driver licenses, vehicle redemption, local identification cards, HB295, Alabama National Guard, military punishment, non-judicial punishment, Article 15, court-martial, special court-martial, disciplinary measures, commanding officer, Adjutant General, Governor
NH
New Hampshire 2026 Regular Session
House Education Policy and Administration (02/11/2026)
Education Policy and Administration
Transcript Highlights:
- I suppose every student being screened?
- He noted that the screening takes about 20 minutes and asked who is actually being screened.
- <05:06:29.360>
a question in terms of the screening a question in terms of the screening a - <05:06:30.798>
takes moment ago you said the screening takes moment ago you said the screening - >> And and who is actually being screened?
FL
Florida 2025 Regular Session
Children, Families, and Elder Affairs Mar 12th, 2025
Transcript Highlights:
- I think to all of us is around background screening.
- right now I can take apparently several several weeks, if not months, to provide up to get back on screens
- days if they received a report back from actually, that does the original, the initial background screening
- If they see anything in a screen, I'm going to I'm jumping a little bit here to the I know.
- But if there's anything in that screening and that shows gives them pause a reason they're able to to
MN
Minnesota 2025-2026 Regular Session
House Floor Session 5/12/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- > adding newborn screening for adding newborn screening for metacchromatic<00:02:19.400>
lucodistrophe - screened 16,000 clients for chlamydia. screened 16,000 clients for chlamydia.
- ,<03:26:30.399>
STI <03:26:31.120>screenings <03:26:31.600>and screenings, STI screenings - and screenings, STI screenings and treatments,<03:26:33.279>
and <03:26:33.840>many, <03 - <03:28:23.840>
and contraceptive counseling, screening and contraceptive counseling, screening
MN
Transcript Highlights:
- Training mandates, immediate response<00:15:50.480>
investigations, <00:15:51.480>screening - response investigations, screening response investigations, screening guidelines<00:15:52.520>
- If you look on 5.9 to 5.11, that is where we are saying that we must not limit the ability to screen
- Um, but we wanted to make sure that for, um, this maltreatment reporting, that it's not screened out
- out after 3 years or or any not screened out after 3 years or or any length<00:19:00.640>
of <
ND
North Dakota 2025-2026 Regular Session
Legislative Task Force on Government Efficiency Mar 25th, 2026
Transcript Highlights:
- So is it the reporting requirement or the screening requirement you're asking about? Mr.
- But as long as we still have the requirement for the dyslexia screening, that's all I care about.
- Outcomes of the screening. Outcomes of the actual screening. Do you use that outcome report? Mr.
- Now, this section of code, I would point you to, let's see, what can we see on the screen here?
- What can we see on the screen here?
Summary:
The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements.
Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed.
The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.
NM
New Mexico 2025 Regular Session
House - Chamber Meeting Mar 1st, 2025
Transcript Highlights:
- Screening process.
- Is part of that is the screening. Thank you, Mr. Speaker and gentlemen.
- Requires those screens to be, you know, shades to be in good repair.
- They'll say there's these little holes in the screen.
- And you're renting a screened window, so the screen must be repaired.
DE
Delaware 2025-2026 Regular Session
Senate Housing & Land Use Committee Meeting Jun 24th, 2026
Housing & Land Use
Transcript Highlights:
- practices, including references to lending, underwriting, appraisal practices, occupancy standards, screening
- Housing providers can comply with laws requiring equal treatment because we can apply the same screening
- Algorithms, automated screening tools, and third-party decision-making are increasingly shaping who gets
- Algorithms, automated screening tools, and third-party decision-making are increasingly shaping who gets
Summary:
The Senate Land Use Committee met in hybrid format but did not have a quorum, so it did not approve minutes or take formal votes. The committee first heard House Bill 457, which would raise the appraisal threshold for certain DELDOT real property dispositions from $10,000 to $25,000 to match federal highway standards and reduce the time and cost of selling small surplus properties. There was little discussion and no public comment on that bill, and the chair indicated it would be circulated.
The committee then took up House Bill 451, which would codify a disparate impact framework under Delaware’s Fair Housing Act. The bill was described as clarifying that housing policies or practices can violate the law even without discriminatory intent if they have an unjustified discriminatory effect on a protected class, using a burden-shifting test similar to federal law. The sponsor and DHSA said the measure was intended to preserve fair housing protections amid uncertainty at the federal level, and an additional amendment was discussed that would delay implementation for 180 days and require DHSR, with DSA and stakeholders, to conduct outreach, education, and training.
Public testimony was divided. Supporters, including Housing Alliance Delaware, YWCA Delaware, and the Delaware Human and Civil Rights Commission, said the bill would protect against discriminatory outcomes, align state law with longstanding fair housing principles, and preserve recourse if federal enforcement changes. Opponents and housing-provider groups, including the Delaware Association of Realtors, Greater Wilmington Housing Providers, and the Delaware Apartment Association, argued the bill could create liability for neutral policies, rely on statistical outcomes landlords cannot easily measure, and increase litigation and costs; several asked for more time, a right-to-cure process, or further amendments. The committee adjourned without taking a formal vote.
MN
Minnesota 2025-2026 Regular Session
Notice required when deploying chemical irritants in a building 3/10/26
Minnesota House Floor Meeting
Transcript Highlights:
- It includes the name, the product number, the total number of all chemical irritants, smoke screens,
- number of all chemical<00:08:59.279>
irritants, <00:09:00.240>smoke <00:09:00.640>screens - ,<00:09:00.959>
and chemical irritants, smoke screens, and chemical irritants, smoke screens
Summary:
The committee took up House File 3782, Chair Mueller’s bill, and first adopted an oral amendment changing the term “distraction” to “diversionary” in four places. The DE2 author’s amendment, as amended, was then adopted. The bill was described as a response to concerns raised after the summer’s events and is intended to address safety and cleanup issues when law enforcement deploys chemical irritants inside buildings.
Colin Hortman testified virtually about the cleanup of his parents’ home after tear gas was used there. He described extensive residue, health effects when re-entering the house, months of delay before it could be safely occupied, difficulty determining what chemicals and quantities had been used, and confusion over who was responsible for remediation costs. He said clearer documentation, immediate disclosure of the agents used, and faster communication would make the process safer and less traumatic for future victims.
Chair Mueller explained that the bill would require law enforcement that uses chemical irritants inside a building to leave a standardized notice for occupants or owners, including information on what was used and how much, and to direct them to the agency for more details. Members asked about the logistics of the notice requirement, including how it would work in multi-agency operations; Mueller said the agency in command of the scene would leave the notice. Representatives expressed support for the bill and its purpose. The committee then renewed and approved the motion to re-refer House File 3782, as amended, to the Judiciary, Finance, and Civil Law Committee.
FL
Florida 2025 Regular Session
December 2, 2025 - 01:00 PM
Transcript Highlights:
- SO DURING THIS TIME PERIOD AS YOU CAN SEE ON THE SCREEN WE HAVE DONE 100,000 HOME INSPECTIONS, INITIAL
- OUR CURRENT ACCOUNTING SYSTEM WHICH WE REFER TO AS THE SLAYER IS A MAINFRAME GREEN SCREEN SYSTEM, LITERALLY
- AS YOU SEE ON THE SCREEN THESE ARE THE APPROPRIATIONS, THE FIRST TWO ROWS ARE EXPENDITURES SO THAT CASH
- JOB WAS ENTERING TRANSACTIONS INTO FLAIR AND EVEN IN 1999 I WAS LIKE WHAT AM I DOING, WHAT IS THIS SCREEN
NV
Transcript Highlights:
- Appropriate screening and assessment of DUI offenders and subsequent treatment programs can substantially
- Appropriate screening, assessment, and treatment of DUI offenders in our justice system can be part of
- Section 11 of the bill, which reflects one of NVAC's top-10 critical policy priorities: increased screening
- Section 11 of the bill, which reflects one of NVAC's top-10 critical policy priorities: increased screening
Keywords:
elderly, vulnerable persons, criminal penalties, theft, civil penalties, criminal justice reform, traffic stops, law enforcement, data recording, public safety, racial profiling, SB323, Nevada, Department of Corrections, offenders, inmates, incarcerated people, prison phone calls, free phone calls, family communication
HI
Hawaii 2025 Regular Session
Restrictive Housing Legislative Working Group 10-16-2025
Hawaii Senate Floor Meeting
Transcript Highlights:
- It was also identified that we need a better screening tool, which we will be working on in December.
- <00:12:17.360>
tool that we need a better screening tool that we need a better screening tool - tools and um protocols are our screening tools and um protocols are going<00:12:24.240>
to <00 - Page 11, line 10, we deleted “evaluation” and added “screen.”
- There is a difference between a full evaluation as opposed to a screening.
Summary:
The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans.
DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment.
The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services.
Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.
FL
Florida 2025 Regular Session
Education Pre-K - 12 Feb 18th, 2025
LA
Transcript Highlights:
- It isn't, but it's specifically for colorectal cancer screening.
- , which would be a screening that was really to help coverage go further.
- Insurance wasn't covering the next screening, which would be a screening that was really to help coverage
- I have patients that have foregone screening tests.
- For example, my patients are more susceptible to cancer and absolutely need colon cancer screenings every
Summary:
The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection.
The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended.
Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.
OK
Oklahoma 2026 Regular Session
Education Oversight - Afternoon Session Dec 17th, 2025
Transcript Highlights:
- Under the Oklahoma State Department of Education that you see on the screen.
- The monitoring people, that pops up on their screen.
- It pops up on their screen, and they make the determination at that point whether it's a real gun or
- It highlights the weapon in the screen and the screen picture, and the schools can react accordingly.
- and the screen picture and the schools can react accordingly the key point I want to make on this is
Summary:
The meeting focused on school safety funding and security practices in Oklahoma schools, especially how districts have used school resource officer (SRO) allocation money and related security grants. Kevin Rey of the Oklahoma State Department of Education’s Office of School Safety and Security explained that the program, created under HB 2903, allows districts to use funds for SROs and physical security improvements such as cameras, access control, fencing, window film, bollards, metal detectors, and vape detectors. He said more than 170 districts used the money to hire SROs in 2024-25, and that the 2024 change allowing retired officers and armed security guards to qualify was a major help. Members questioned whether the money should also support prevention and mental health services, and Rey said the current program is mainly for security hardware and related measures.
Mark Stout, chief of police for Putnam City Schools, described the district’s layered security approach, including weapon detection at middle and high schools and the ZeroEyes AI camera system, which monitors existing cameras for visible guns and sends alerts to trained monitoring staff and then to district police. He said the system is used as one layer among others, alongside officers, weapon detection, and school procedures, and noted the district is expanding coverage at athletic facilities. He also explained that the system is more economical than full weapon-detection setups, with annual costs based on the number of cameras.
Tecumseh Superintendent Kinsey, Chief Kennedy, and Pottawatomie County law enforcement described the October threat investigation involving a student who posted a photo with a handgun and knife and discussed violence online. They said the FBI tip, rapid coordination among agencies, and an SRO already embedded in the district helped lead to a search warrant and arrest within hours, preventing a possible attack. Kinsey also described the district’s safety measures, including secure entrances, cameras, ALICE training, crisis communication planning, mental health support, clear backpacks, and a new staff alert system. He said community feedback after the incident favored more law enforcement partnership, limited entry points, handheld metal detectors, more SROs, stronger training, and more mental health support.
Matt Riggs, former superintendent of McComb, said smaller districts face different security challenges because of limited local law enforcement and long response times. He explained that McComb used its funding for facility upgrades rather than hiring a full-time SRO because the district wanted improvements that would last beyond the three-year funding window. Throughout the discussion, several members emphasized the tension between visible security measures and prevention, with repeated calls for more counselors, mental health supports, and threat-assessment efforts alongside hardening measures. No formal votes or actions were taken in the transcript.
TX
Transcript Highlights:
- And then we're also, the rules reduce screening. home screening criteria from 23 to 13 items, and also
- One of our roles... is to do provider enrollment screenings.
- Somebody who volunteers to participate in the program. has to go through a background check and a screening
- increased our workload, so we are additional asking for additional funding for more folks to do screenings
- This next screen shows exits from foster care, so when children leave foster care they usually return
FL
Florida 2025 Regular Session
February 5, 2025 - 09:00 AM
Transcript Highlights:
- We've done on-screen reviews of their documentation to make sure they have been doing it.
- We have our Case 360s set of screens, we'll call it.
- Like I said, just to paint a picture, I mean, we are talking about green screens that are from the late
- And so we're very excited about the opportunity to modernize those sets of screens.
- There's actually well over 100 screens.
Summary:
The subcommittee heard updates on several major technology modernization efforts, beginning with the Department of Financial Services’ Florida PALM project, which is replacing the state’s decades-old FLAIR accounting system. DFS described PALM as a statewide effort affecting all three branches of government, with cash management already live and the remaining financial management, payroll, and data warehouse components still in development. Officials said the project began in 2014, was restructured after a 2022 legislative pause, and is now being recommended for a go-live delay from January 2026 to July 2026. Members asked about governance, staffing, contract structure, cost growth, and maintenance costs; DFS said the contract is deliverable-based, the current amendment would add a net $2.2 million, and post-go-live maintenance is expected to be about $13 million annually under the current contract through July 2027.
The Agency for Health Care Administration then updated the committee on the FX Medicaid enterprise modernization program. AHCA explained that federal CMS directed states to move from monolithic Medicaid systems to a modular approach, leading Florida to procure separate vendors for integration services, data warehouse, unified operations, provider services, and claims processing, with pharmacy benefits still to be procured. Officials said the project has spent about $334 million to date, with most costs federally matched, and requested $189.95 million for the upcoming year. They also highlighted a 2024 special assessment that produced 81 recommendations, most tied to staffing shortages, and said the Legislature added 47 FTEs, with 17 currently filled or being filled. Members asked about governance changes, production status, data access, and future technology maintenance; AHCA said some components are operational, the data warehouse is nearing certification, and the agency is working to keep the system adaptable and nonproprietary.
The Department of Children and Families presented its Access modernization project, which is replacing a mainframe-based eligibility system used for SNAP, TANF, Medicaid assistance, and related programs. DCF said the six-year, $205 million project is in its third year and has already delivered a new customer portal with mobile access, multi-factor authentication, and fraud protections, while also building a worker portal, document management, community partner tools, and workload management functions. The agency said it is requesting $36.625 million for the next fiscal year, the same as last year, and emphasized that the project has remained on schedule and on budget by breaking work into smaller modules and using strong vendor and staff support. Members praised the project’s progress and asked about cybersecurity testing and the long delay before modernization began; DCF said security requirements were built in from the outset and that the remaining work will focus on moving staff off the legacy mainframe and modernizing notices and back-end processes.