Video & Transcript Research : 'provider flexibility'

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LA

Louisiana 2026 Regular Session

House of Representatives May 5th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • , provide for the effective date.
  • to be paid by renewable energy providers, provide for the effective date.
  • , provide for required schedule content, provide for the parents' bill of rights for public schools,
  • program, to provide for a subfund at a law enforcement recruit incentive fund, provide for the use of
  • House Bill 276 by Representative Carpenter provides relative to bail, provide for the minimum fixing
Bills: HR223, HR224, HR225, HR226, HR227, HR228, HR229, HR230, HR231, HR232, HR233, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, SCR41, SCR42, SCR43, SCR44, SCR45, SCR46, SCR47, SCR48, SCR49, SCR50, SCR51, SCR52, SB259, SB347, SB398, SB469, SB483, SB518, HR37, HCR64, SCR11, SCR22, HB89, HB341, HB451, HB456, HB541, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1165, HB1191, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB123, SB125, SB387, SB401, HB730, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, HR171, HCR49, HCR65, HCR72, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR32, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB459, HB617, HB804, HB926, HB225, HB955, HB901, HB79, HR20, HR74, HB59, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1069, HB1113, HB1180, HB1203, HB1234, HB1240, SB89
Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.
FL

Florida 2025 Regular Session

Fiscal Policy Mar 27th, 2025

Transcript Highlights:
  • Modernizing the long-range program plan to improve flexibility, simplify processes and shift focus to
  • school districts flexibility in their assessment calendars.
  • The bill provides greater flexibility for districts and instructional personnel by authorizing districts
  • The bill provides districts are going to control over their facilities which removes prescribed 5 year
  • flexibility in using federal funds for support providing flexibility in using federal funds for support
Keywords: 999, senate, all
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 2/18/26

Children and Families Finance and Policy

Transcript Highlights:
  • <01:14:27.600> Uh<01:14:28.080> because provide that flexibility.
  • Uh because provide that flexibility.
  • <01:14:32.800> more<01:14:33.040> flexibility because we're providing more flexibility
  • that additional flexibility we provided that additional flexibility already<01:14:46.719> but
  • for providers we maintaining flexibility for providers we reorganized<01:15:06.640> the<01:15
Keywords: 1183, house
KY
Transcript Highlights:
  • <00:05:07.640> with and allows for the flexibilities with and allows for the flexibilities
  • It revises the definition of inactive Medicaid provider to mean a provider who has submitted fewer than
  • that the provider is being audited.
  • > bit more flexibility with their current bit more flexibility with their current contract<00:10:19.840
  • <00:10:43.400> being provider that the provider is being provider that the provider is being
Keywords: 958, all
Summary: The committee met with a quorum to consider the Senate Committee Substitute for House Bill 2, a major Medicaid bill. Members first adopted the substitute and then adopted Amendment 9770. The bill was described as a lengthy rewrite aimed at aligning Kentucky Medicaid policy with federal requirements under HR 1, while also preserving program integrity and addressing due process concerns. Senators and staff repeatedly emphasized that the measure was the product of extensive meetings with providers, associations, and work groups. The sponsor’s section-by-section summary highlighted several key changes: delaying and reducing cost-sharing requirements; pushing eligibility redetermination deadlines to the federal date; restoring some flexibility for hardship waivers; allowing self-attestation as a last resort; modifying MCO audit provisions; clarifying non-emergency medical transport GPS costs; expanding waiver attestation authority to nurse practitioners and licensed psychologists; adding qualified aliens to waiver eligibility to comply with federal law; requiring Medicaid data sharing with the oversight board; limiting changes to Medicaid benefits without General Assembly authorization; narrowing the prescription drug exclusion to drugs prescribed primarily for weight loss; and delaying the dental ASO transition until 2029. The substitute also deleted a proposed auditor review requirement and retained an emergency clause. Committee discussion focused heavily on the policy and fiscal implications of the cost-sharing and recertification provisions. Senators raised concerns about whether the co-pays would be effective or simply shift costs to providers, whether the recertification process would burden the Cabinet and cause eligible people to lose coverage, and how the bill would affect people transitioning from Medicaid into work. Supporters said the lower cost-sharing amounts were intended to encourage appropriate use of care, protect providers, and comply with federal law, and they noted that the Medicaid Oversight and Advisory Board would help shape future changes. A public witness, Maggie Chisholm, gave emotional testimony about her daughter’s experience with a Medicaid waiver and argued that policy delays and administrative disconnects can harm vulnerable families. No final vote on the bill itself was recorded in the excerpt, but the substitute and amendment were adopted and testimony continued.
FL

Florida 2025 Regular Session

January 14, 2025 - 09:00 AM

Transcript Highlights:
  • Providing support that entire time.
  • We provided the data tool. We provided cybersecurity tools. We provided the data tool.
  • We provided cybersecurity tools.
  • What you can expect, Representative, is us to provide regular reports... ...to provide regular reports
  • We are provided a direct appropriation for the services we provide state agencies.
Summary: The subcommittee held its first meeting to examine Florida’s information technology governance, budgeting, cybersecurity, data management, and telecommunications operations. Chair Schneider and other members framed the panel as a new joint policy-and-budget forum focused on reducing jargon, improving accountability, and asking whether technology investments are feasible, aligned with state goals, cost-controlled, and secure. State Affairs Chairman Will Robinson and members emphasized that the committee should avoid buying “shiny new objects” without clear business cases and should focus on long-term value, cybersecurity, and operational efficiency. Florida Digital Service and Department of Management Services leaders provided an overview of the state IT enterprise. Secretary Pedro Allende described DMS as the state’s business, workforce, and technology service provider, while State CIO Warren Spanholz outlined Florida Digital Service’s four core areas: cybersecurity, project success, data interoperability, and enterprise architecture. Chief Data Officer Ed Ryan said the state data catalog is about 400,000 elements and roughly half of agencies are participating, and he described efforts to identify authoritative data sources and improve interoperability. Chief Information Security Officer Jeremy Rogers discussed the state cybersecurity operations center, enterprise risk management, incident response exercises, and a recurring $35 million cybersecurity resiliency budget. Chief Technology Officer Leo Schoonover described oversight of major IT projects over $10 million, updated project management standards, and a shift toward smaller phased implementations and more flexible methodologies to reduce delays and overruns. Other presenters covered telecommunications, data center operations, and cybersecurity workforce development. Director Denise Atkins said the Division of Telecommunications manages Suncom and MyFloridaNet, with nearly $336.9 million appropriated for fiscal year 2024-25, and is procuring the next network contract while emphasizing security controls and vendor flexibility. Tim Brown said the Northwest Regional Data Center operates on a chargeback basis, serves state and local customers, and returned surpluses to customers in recent years. Cyber Florida Director Ernie Ferraroso described training, workforce pipelines, K-12 outreach, a cyber range, and research programs aimed at building Florida’s cyber workforce and improving public-sector readiness. Members asked about budget setting, project delays, change orders, cybersecurity reporting, data catalog participation, interoperability, and expanding cybersecurity operations centers. Officials said chargeback rates are based on actual direct and indirect costs, project delays often stem from unclear scope and insufficient upfront planning, and cybersecurity success is measured by mean time to detect, respond, and recover. They also said the state is moving toward more modular project delivery, broader agency participation in shared cybersecurity services, and expanded CSOC locations within existing staff and budget where feasible.
CA
Transcript Highlights:
  • When they're all done, this project will provide 700 megawatt-hours.
  • To provide some brief background, DWR acted very quickly.
  • incentives via demand-flexibility aggregators to electricity customers to provide load reduction when
  • So for that purpose, I think that the flexibility will still be very important.
  • They don't even have to go out and get the data; it is being provided to them.
Keywords: 988, house, all
FL

Florida 2025 Regular Session

Education Pre-K - 12 Mar 3rd, 2025

Transcript Highlights:
  • IT EXPANDS ACCESS TO OPTIONS USED FOR FOURTH-GRADE PROMOTION, PROVIDES SCHOOL DISTRICTS FLEXIBILITY IN
  • PROVIDE FLEXIBILITY IN USING FEDERAL FUNDS FOR SUPPORT PROGRAMS AND TEACHER RECRUITMENT FOR LOW INCOME
  • ALTHOUGH THERE IS AN INCREASE SCHOOL DISTRICTS ARE PROVIDING CONTROL AND FLEXIBILITY ON HOW THIS COMPONENT
  • Simon: THEY WILL STILL MONITOR THE PRIVATE PROVIDERS. >> Sen.
  • SCHOOL DISTRICTS NEED FLEXIBILITY WHEN IT COMES TO THOSE PHYSICAL LOCATIONS.
Keywords: 999, senate, all
VA

Virginia 2026 Regular Session

Labor and Commerce Mar 5th, 2026

Labor and Commerce

Transcript Highlights:
  • More generally, the bill provides for numerous revisions of the Virginia Nonstock Corporation Act.
  • to bring derivative proceedings, permits a court to remove a director in certain circumstances, provides
  • , system owners, and wholesale power providers.
  • This bill passed. ...and transmission service providers, system owners, and wholesale power providers
  • The bill requires any such agreement to provide that the locality pay the utility.
WY

Wyoming 2026 Regular Session

Senate Travel, Recreation, Wildlife & Cultural Resources Committee, February 17, 2026 - AM

Travel, Recreation, Wildlife & Cultural Resources

Transcript Highlights:
  • Provides much more flexibility. Is that the way you anticipate the department would look at this?
  • flexibility to tailor flexibility to tailor the<00:08:04.400> number<00:08:04.639> of<00
  • Provides much more all these things.
  • Provides much more flexibility.<00:08:15.440> Is<00:08:15.680> is<00:08:15.919> that
  • Is is that the way you flexibility.
HI
Transcript Highlights:
  • <00:36:59.760> uh<00:36:59.880> flexible always consider flexible uh flexible always
  • consider flexible uh flexible hiring<00:37:00.960> as<00:37:01.240> a<00:37:01.800>
  • Hello, and I can provide this also.
  • I did provide it to the last committee, so I apologize if I didn't provide our info sheet.
  • if can right so I maybe that provides if can right so I maybe that provides some<01:10:39.360>
Keywords: 910, house, all
MN

Minnesota 2025 1st Special Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 2/13/25 - Part 1

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • have been working on is to provide have been working on is to provide medical<00:04:34.199> and
  • <00:28:51.720> employees the importance of providing employees the importance of providing
  • Schools already provide flexible employment opportunities for individuals who need flexibility.
  • implementation schools already provide implementation schools already provide flexible<00:41:00.720
  • that already provide substantial lead programs<00:41:41.880> and<00:41:42.119> flexibility
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Transportation - 04/02/25

Transportation

Transcript Highlights:
  • <00:04:07.439> an only for the purpose of providing an only for the purpose of providing an
  • to keep all road users safe and provide to keep all road users safe and provide a<00:20:14.720><
  • and we should allow funding flexibility and we should allow funding flexibility to<00:20:26.240>
  • It would provide long-needed funding flexibility to MnDOT to create these trunk projects that better
  • provide comment on that as well. provide comment on that as well.
Keywords: 1187, senate, all
AR

Arkansas 2026 1st Special Session

JOINT BUDGET COMMITTEE Mar 5th, 2026

JOINT BUDGET COMMITTEE

Transcript Highlights:
  • And then we send that back out to the provider to provide those...
  • And then we send that back out to the provider to provide those drug court or those drug and alcohol
  • looking for a successor provider.
  • provide.
  • This gives us the flexibility.
Keywords: 1204, all
CA

California 2025-2026 Regular Session

Assembly Appropriations Committee Aug 20th, 2025

Appropriations

Transcript Highlights:
  • Is the plan to provide them full up front costs of the election?
  • This bill would allow that flexibility.
  • Cortese Step up to the plate and provide that. I wish this was the final run.
  • When asked by members of the public to provide badge numbers, they refuse.
  • This legislation provides an.
Keywords: 988, house, all
KY
Transcript Highlights:
  • > snapshot<00:03:04.720> of Second, I'll provide a snapshot of Second, I'll provide a snapshot
  • Providing model, ordinances, units.
  • I think it really depends on flexibility.
  • , flexibility, flexibility, but<00:45:54.800> it<00:45:55.040> would<00:45:55.200> be
  • <01:03:41.200> it application is submitted provided it application is submitted provided it
Summary: The Kentucky Housing Task Force met and heard first from the Kentucky Chamber of Commerce, which presented findings from a housing study done with the Home Builders Association. The chamber said housing is now a major economic-development issue, citing survey results that 90% of community leaders said their region could not absorb a major job announcement and 66% said housing is holding back Kentucky’s economy. The chamber described Kentucky’s housing shortage, rising home prices, declining permits since 2008, and the need for more production to support growth. It urged policy changes including zoning and land-use reform, tax incentives, regional approaches, and especially a residential infrastructure fund modeled on Indiana’s low-interest loan program to help communities finance roads and other infrastructure needed for new housing. Members asked about the severity of the problem, workforce shortages in permitting and construction, the loan interest rate, repayment, and whether Kentucky could replicate Indiana’s results; the witness said the issue is a crisis and that the program would be a revolving public-private partnership, likely around 3% interest, with implementation details still to be worked out. The Kentucky Bankers Association then testified that the housing gap is especially acute for households at 80% of area median income and below, which it said represents about 70% of Kentucky’s housing need. It emphasized that the shortage affects both urban and rural counties and pointed to examples such as Rowan County, where workers at major employers must commute long distances because local housing is unavailable or unaffordable. The bankers said high interest rates remain a major barrier and proposed a $20 million bank commitment for a revolving fund tied to tax credits to finance new housing, not refinances. They cited Hope of the Midwest as an example of a successful tax-credit housing model with a long track record and no defaults, and said the proposal would leverage public-private partnerships to create new units. Committee members questioned how the proposed fund would compare with industrial revenue bonds and whether it could be structured like Kentucky’s tobacco settlement fund, with seed money, a review board, scoring criteria, and possible population thresholds to ensure smaller communities benefit. The bankers said the proposal would be another tool for cities and counties, specifically tied to residential infrastructure, and that larger cities should not be able to capture all of the resources. No formal votes or actions were taken during this portion of the meeting.
TX

Texas 89th Regular

S/C on County & Regional Government May 5th, 2025

S/C on County & Regional Government

Transcript Highlights:
  • Current law provides no mechanism for addressing these issues.
  • HB4259 does not mandate this change for every county; it simply provides.
  • This allows individual counties to determine if a fee is a good fit and provides flexibility in addressing
  • The bill also provides flexibility, which is a huge advantage for us, as these dollars can be applied
  • Flexibility is a huge issue for us with these dollars.
FL

Florida 2026 5th Special Session

Fiscal Policy Jan 14th, 2026

Transcript Highlights:
  • It provides an exemption for individuals who are building housing for families.
  • It provides an exemption for individuals who are building housing for families.
  • Current statute provides a county with the authority to enforce ordinances related to off-site impacts
  • It clarifies Title I spending flexibility and ensures charter schools access to available programs and
  • I'm really excited to see the provisions in this bill give more flexibility with the Title I dollars
Summary: The Committee on Fiscal Policy heard and approved two bills. First, it took up CS for SB 290, an agriculture and consumer services bill, and adopted a strike-all amendment that covered a wide range of issues: density limits for certain small municipalities, a delay in biosolids rule changes from July 1, 2026 to July 1, 2028, higher insurance and penalty requirements for fumigation businesses, longer payment timeframes for contractors to pay subcontractors and suppliers, restrictions on county agritourism permitting ordinances, and renaming the Bonifay Forestry Station. Senators raised concerns about the contractor penalty increase, local government preemption, and the biosolids provisions. Audubon Florida testified in opposition to the state lands and biosolids sections, while several industry and agriculture groups waved in support. The committee then voted the bill favorably, with Senator Bracey Davis voting no. The committee next heard SB 320 on administrative efficiency in public schools. The bill would reduce district-level requirements in areas such as assessments, personnel, facilities, and budgeting; expand teacher apprenticeship and multi-year contracts; streamline salary supplements and testing calendars; give districts more flexibility with Title I and capital funds; update facility planning rules; and shift oversight of district-run VPK programs. Supporters from several school districts and education groups waved in favor. Senators generally supported the goal of reducing administrative burdens, though one question was raised about remedies if charter schools fail to respond directly to Department of Education inquiries. The sponsor said the bill is intended to create a more direct reporting path and reduce unnecessary layers of regulation. SB 320 was reported favorably, and the committee then adjourned.
TX

Texas 89th Regular

Local Government (Part I) Apr 24th, 2025

Local Government

Transcript Highlights:
  • By providing access to critical capital, we're not just building houses.
  • It supports local flexibility and budgeting.
  • This approach provides ESDs with the flexibility to adapt to their unique fiscal needs.
  • This is a bill at its core that provides regulatory flexibility.
  • So this just helps provide more products quicker on the market.
Summary: The Senate Committee on Local Government met with a quorum and limited public testimony to two minutes per person. The committee heard Senate Bill 628 by Senator Zaffirini, which would clarify that counties may enter interlocal agreements with emergency service districts to administer and enforce county fire codes, including for multi-county ESDs in the committee substitute. Witnesses from Travis County ESD-11, the Travis County Fire Marshal’s Office, and a member of the public supported the bill as a way to reduce duplication, costs, and jurisdictional confusion. Public testimony was closed and the committee substitute was left pending. The committee then heard several housing-related bills. Senate Bill 208 by Senator West would create a Workforce Housing Capital Investment Fund to provide zero-interest loans to nonprofit builders for workforce housing; Habitat for Humanity representatives, a Brownsville nonprofit developer, and housing advocates supported it as a way to finance infrastructure and land development for affordable homes. Senate Bill 2835 by Senator Johnson would allow cities to opt into single-stair apartment buildings for small-scale, multi-story housing; supporters said the design is safe and could expand housing supply, while the Texas APA expressed qualified opposition over code-process concerns and fire-safety questions. Both bills were left pending after testimony. Additional bills heard included SB 1042 updating the Kimble County Hospital District’s enabling law; SB 1708, a committee substitute protecting familial property divisions from platting requirements; SB 2778 raising the ESD expenditure threshold requiring board approval from $2,000 to up to $50,000; SB 2608 expanding LIHTC eligibility for certain public housing projects; SB 3044 adding board representation for Marfa and Presidio on the Presidio County Underground Water Conservation District and adjusting an exemption; SB 2367 extending park board authority to Waller County; SB 2523 clarifying ETJ reduction procedures and owner opt-out rights; SB 2521 requiring death-certificate reporting to appraisal districts to help address squatting and homestead exemption issues; and SB 2477 easing office-to-residential conversions in larger cities. In each case, the bills were laid out, testimony was taken, and the measures were left pending subject to call of the chair. The committee then recessed until 15 to 30 minutes after adjournment.
TX

Texas 89th Regular

Appropriations Feb 19th, 2025 at 10:30 am

Appropriations

Transcript Highlights:
  • people who have served our state, provided the services that we want to provide.
  • Yeah, we can definitely provide that for you.
  • This provides a snapshot of the Texas Water Fund.
  • That would certainly afford more flexibility.
  • I think should the legislature want to enhance the flexibility of of the Water Fund, the flexibility
Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.
FL

Florida 2025 Regular Session

February 11, 2025 - 03:30 PM

Transcript Highlights:
  • and partnering with providers, managing provider networks, providing services, and performing various
  • It allows for a little bit greater flexibility for provider selection going outside of the Medicaid network
  • provided.
  • allocated to the providers in order for you to be able to retain those good providers to provide the
  • We provide...
Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.