Video & Transcript Research : 'Senate Resolution 121'
Page 44 of 500
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Transcript Highlights:
- Senator Hill, you're recognized. Mr.
- Senator Hill, you're recognized? Senator Hill, you're recognized?
- All right, Senator Hill. Thank you, Ms. Hall.
- Yes, Senator.
- All right, Senator Hill, you're recognized.
Summary:
The committee met to consider several budget and staffing requests tied to constitutional offices and the Supreme Court, with opening remarks noting that fringe benefits are now calculated at 40% to 45% and that constitutional officers may pay the maximum if they choose. Item B, a Supreme Court request for one new Supreme Court police chief position with no appropriation increase, was approved. Item C, from the Secretary of State, sought five additional Capitol Police corporal positions, title realignments, and salary maximum adjustments, along with a $498,000 appropriation increase; members questioned how the office could absorb pay changes without new funding, and the office explained it was cleaning up a large and outdated classification structure while also preparing to provide security for an additional building. The item was approved.
Item D, from the Lieutenant Governor’s Office, proposed moving from line-item maximum salaries to state pay-plan grades, with no change in total positions but about a $349,000 increase in salaries and matching funds. Office representatives said the office had not had raises in nearly a decade and needed the change to stay competitive and retain staff, but members raised concerns about comparing the office’s pay to other agencies and about office staffing and accessibility. Senator Hill asked to hold the item for offline discussion, and the committee agreed to hold it until the next day.
Item E, from the Auditor’s Office, requested salary realignments, increases to line-item maximums, and two new positions tied to UCP claims and compliance work, with a total increase of $579,468. The auditor said the office had already pulled a government relations position from the request after an updated packet was issued, and defended the remaining increases as market-based and revenue-neutral, with some work funded by interest earnings. Members questioned the need for a legislative affairs position and whether the salary increases were aligned with the market, but after discussion the committee approved the item. The meeting then adjourned.
FL
Florida 2025 Regular Session
March 19, 2025 - 01:00 PM
Transcript Highlights:
- I've been working with the Senate sponsor, and the intentions for fiscal considerations are appropriating
- And we have also sent 205 letters for siblings, which was part of Senate Bill 1758 this past year that
- We received for incentive bill, Our, we received for, in Senate Bill 1758, we received over $38 million
- Then through Senate Bill 1758, the legislature directed APD to extend enrollment offers to everyone who
- In addition to Senate Bill 1758, there was also some proviso language in the General Appropriations Act
Summary:
The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony.
The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized.
Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.
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