Transcript Highlights:

• I live a warrior life that I did not ask for: a life of hospital visits, chronic pain, strength built

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• And Director Blassingame and I went over this yesterday preparing to visit with you all about how much

Committee: All LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action. The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.

Transcript Highlights:

• And Director Blassingame, I went over this yesterday preparing to visit with you all about how much detail

Committee: All LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• We have a large group here visiting with us today, and we're so glad to have them. We have Mr.

Committee: Senate Agricultural Affairs

Keywords: 989, all

Transcript Highlights:

• And I had the honor of visiting Cape Verde with some of our colleagues and friends twice.

Keywords: 1212, all

Transcript Highlights:

• And, you know, I always tell people, you know, we like to visit places we haven't been and hear stories

Summary: The Banking and Insurance Committee took up several bills, beginning with CS/SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and the oversight required. The bill was reported favorably without opposition. The committee then heard SB 1256 on pharmacy audits, which would require PBM audits of pharmacies to follow uniform standards and provide due process protections; pharmacists testified in support, describing current audits as burdensome and conflicted. That bill was also reported favorably. Members next considered CS/SB 598 on funeral, cemetery, and consumer services. An amendment was adopted removing provisions on civil damage caps and phasing out direct disposers, and the bill was then reported favorably. SB 632, dealing with transportation network company insurance, would set coverage requirements for the period after a ride is accepted but before pickup; an opponent argued the existing insurance framework should not be reduced, but the bill passed on a divided vote and was reported favorably. CS/SB 786 on trusts, creating a nonjudicial process to close uncontested trusts and discharge trustees, was supported by banking and legal groups and reported favorably. The committee then took up CS/SB 1110 on Medicaid, health insurance, and HMO coverage for orthotics and prosthetics. A delete-all amendment clarified eligible recipients, and the bill drew extensive emotional testimony from amputees, parents, and advocates describing the high cost of activity limbs and the benefits for children’s health and participation. Several senators praised the testimony and the policy, and the bill was reported favorably. Finally, SB 1588 on legal tender refined last session’s gold-and-silver law, and SPB 7044 created related public-records exemptions for custodians of gold and silver; both were reported favorably, with SPB 7044 adopted as a committee bill. The meeting ended with senators recording additional affirmative votes on selected bills and adjournment.

Transcript Highlights:

• And, you know, I always tell people, you know, who we like to visit places we haven't been and hear stories

Bills: S0326 , S0598 , S0632 , S0786 , S1110 , S1256 , S1380 , S1588 , S7042 , S7044

Committee: Senate Banking and Insurance

Keywords: curators, estates, court appointment, fiduciary duty, bond requirements, removal, surrogate, funeral homes, cemetery law, cremation, embalmer, funeral director, preneed contract, preneed funeral, human remains, unclaimed cremated remains, disposition of remains, hospice, palliative care, end-of-life care

Summary: The Banking and Insurance Committee met with a quorum present and temporarily postponed SB 7042 on legal tender and SB 1380 before taking up the remaining agenda. The committee first reported favorably C.S. for SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and what oversight applies. It then reported favorably SB 1256, which standardizes PBM pharmacy audits by requiring uniform audit standards, scope, frequency, penalties, and due process protections for pharmacies; testimony from pharmacists emphasized concerns about conflicts of interest, excessive audits, and disproportionate penalties, while preserving fraud investigations. The committee also reported favorably C.S. for SB 598 on funeral and cemetery services after adopting an amendment that removed provisions on civil damages caps and phasing out direct disposers; the bill updates licensure and contract rules and addresses unclaimed remains. SB 632, which sets insurance requirements for transportation network companies during the period after a ride is accepted but before pickup, was reported favorably despite opposition from an attorney who argued the existing coverage framework should not be reduced. C.S. for SB 786, creating a nonjudicial process to close out undisputed trusts and discharge trustees, was also reported favorably. The committee then took up SB 1110, a major bill expanding Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including activity limbs, and requiring annual reporting. After adopting an amendment clarifying eligible recipients, the committee heard extensive emotional testimony from amputees, parents, and advocates describing the medical, developmental, and financial importance of prosthetic coverage, and members spoke in strong support before the bill was reported favorably. Later, the committee considered SB 1588, which implements last session’s legal tender law by refining definitions, narrowing custodian provisions, eliminating unnecessary examination requirements, and repealing the sunset clause; members raised questions about verification and anti-money-laundering concerns, but the bill was reported favorably. Finally, the committee approved SPB 7044 as a committee bill to expand public records exemptions to records relating to newly regulated custodians of gold and silver. The meeting concluded with senators recording additional affirmative votes on selected bills and adjourning.

Transcript Highlights:

• And, you know, I always tell people, you know, we like to visit places we haven't been and hear stories

Committee: Senate Banking and Insurance

Keywords: 999, senate, all

Transcript Highlights:

• required training as set by rule of the department to identify and refer at-risk children, home visiting

Bills: SB241 , SB145

Committee: Senate Senate Finance

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• Those are good questions, and we need to visit and talk that through.

Bills: SB1415 , SB1714 , SB1962 , SB26 , SB172

Committee: Senate Retirement and Government Resources

Keywords: nondisclosure agreements, state employment, employee rights, transparency, government accountability, employee suggestions, cost savings, state agencies, incentives, performance awards, efficiency, Oklahoma Central Purchasing Act, state procurement, state purchasing, State Purchasing Director, Office of Management and Enterprise Services, OMES, exempt entities, purchasing exemptions, state contracts

Transcript Highlights:

• Congratulations to the Seahawks, and we’re real proud to have them visit us today or later today.

Summary: House and Senate Republican leaders held a press availability focused on the late-session legislative agenda, with repeated criticism of Democratic proposals they said would raise costs and expand state control. Their main targets were a proposed state income tax on high earners, which they described as an unconstitutional income tax likely to expand over time, and an anti-initiative bill they said would make it harder for voters to use direct democracy. They also objected to bills they said would restrict local authority over camping bans and housing permits, and to a series of tax and fee increases affecting bottles, tires, groceries, food, health care, energy, labor, and licensing costs. The Republicans said the income tax proposal drew more than 60,000 opposition sign-ins and argued that the level of opposition showed Washingtonians broadly reject it. They said any legal challenge would likely come from outside the Legislature, not from caucuses, and cited former Attorney General Rob McKenna’s testimony as support for their view that the measure violates the state constitution. They also discussed capital flight and said prior tax increases, including the estate tax and capital gains tax, were already prompting businesses and wealthy residents to leave the state. The caucus highlighted several Republican-backed affordability bills they said remain alive, including a diaper tax exemption, a prepared-food tax exemption, repeal of last year’s services tax, and sales tax exemptions for certain continuing education and licensing fees. They also said they had helped block or weaken several Democratic bills, including proposals involving grocery stores, wildfire utility costs, college encampments, plastic bag fees, and a juvenile justice bill they said would have allowed earlier release of violent offenders. On child welfare, members criticized a bill addressing the Keeping Families Together Act as insufficient and said they would keep pushing to change the “imminent harm” standard, while also supporting a separate bill to add fentanyl exposure to the child endangerment statute. No formal votes were taken in the press event itself.

Transcript Highlights:

• required training as set by rule of the department to identify and refer at-risk children, home visiting

Bills: SB241 , SB145 , HB2

Committee: Senate House Appropriations & Finance

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Summary: The committee first took up Senate Bill 241 and reviewed a Senate Finance Committee substitute that incorporated several amendments. Staff explained changes related to the child care fund, residency determinations for federally eligible applicants, expanded child care assistance eligibility for grandparents raising grandchildren and foster parents, updated payment-rate rulemaking, tribal child care sovereignty and culturally appropriate services, limits on land grant permanent fund use for nonsectarian/non-denominational services, provider licensure pathways, and reporting clarifications. Members also discussed whether the bill would maximize federal and state child care tax benefits and how the nonsectarian language would apply to faith-based child care providers. The committee adopted the substitute and then passed it on a 7-3 vote. The committee then moved into House Bill 2 budget language review, focusing on budget adjustment authority and other fiscal provisions. Members discussed proposed BAR language for the State Investment Council, State Treasurer, PERA, and the Economic Development Department, with concerns about caps, whether the language was too broad, and whether some items should revert to existing law or be removed. The committee approved some of the BAR language items, but flagged the Treasurer and Economic Development provisions for later review. Members also discussed extending certain appropriations and project timelines, including a Rio Grande Trail Commission item and several IT and public safety projects, generally favoring extensions where work was still underway. The committee then debated proposed public school support language that would bar PED from approving budgets for schools with fewer than 180 instructional days and from approving new moves to four-day school weeks. Several members argued the 180-day language conflicted with existing statute, which is based on instructional hours, and that the four-day-week restriction could have unintended consequences. The committee ultimately voted down both public school support provisions. The meeting ended with a brief discussion of reviewing the rest of House Bill 2 and related supplemental and language items in the next session, and then adjourned.

Transcript Highlights:

• But in that effort to clean that up, I was visiting with some of my constituents, and as you guys are

Bills: SB2108 , SB2121 , SB2171 , SB2061 , SB2112 , SB2138

Committee: Senate Agriculture and Wildlife

Keywords: feral swine, nuisance control, wildlife management, hunting permits, agriculture, cultivated meat, food safety, public health, misbranding, advertising, food labeling, food distribution, state regulations, hunting licenses, fishing licenses, veterans, controlled hunts, deer population, wildlife conservation, food policy

Transcript Highlights:

• And then during one of my visits to my grandma, she asked me why I only had one daughter.

Committee: House House Government, Elections & Indian Affairs

Keywords: 996, all

Transcript Highlights:

• And then during one of my visits to my grandma, she asked me why I only had one daughter.

Summary: The committee met on American Indian Day and first rolled Committee Substitute House Bill 110 at the sponsor’s request. It then heard House Memorial 32, which would direct the Indian Affairs Department and the Commission on the Status of Women to study the history and ongoing impacts of forced and coerced sterilization of Indigenous women and women of color in New Mexico, including known cases, access to reproductive health services, educational policy, and possible reparations. The sponsor, survivors, and expert witnesses described personal experiences and historical research, arguing the issue remains unresolved and that New Mexico could become the first state to formally acknowledge it through a memorial and study. Support came from the Commission on the Status of Women, Planned Parenthood, ACLU of New Mexico, and others; one member objected to the phrase “reproductive justice,” but the sponsor declined to change the language. The committee approved the memorial on a 7-1 vote, with Representative Block voting no. The committee then heard House Bill 109, which would speed up the approval and release of Water Trust Board funding by suspending the current legislative authorization step and relying on a more streamlined review process. The sponsor and NMFA witnesses said the bill would help rural and small communities avoid delays that drive up construction costs, especially given inflation, drought, and the large number of water projects needing funding. They noted the bill would still involve review by multiple state agencies and that legislators could still obtain project information from NMFA. Members asked about oversight, transparency, and whether the change would reduce legislative control, but supporters said the current process adds months and can force communities to reapply when costs rise. The committee passed the bill on a voice vote after a motion for due pass, and the meeting adjourned.

Transcript Highlights:

• violation of state law, and I'm not a lawyer nor am I law enforcement, and I've only been in jails to visit

Committee: House State Affairs

Keywords: 989, all

Transcript Highlights:

• and 8 that have reached out recently to get information on Integrating, and of those 8, I'll be visiting

Keywords: 914, all

Transcript Highlights:

• I'd really like to visit with you more before it moves to the floor.

Committee: House House Energy, Environment & Natural Resources

Keywords: 996, all

Transcript Highlights:

• This is a courtesy kind of visit, something we've never done before.

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• the wonderful City of Coral Springs which I invite you all, it was 83° when I left so come down and visit