Transcript Highlights:

• Most recipients enrolled in Medicaid are enrolled in a Medicaid health plan, where the health plans can
• The Governor is recommending $20 million in general revenue funding to continue enrollment of individuals
• In fact, nearly one... ...worth, and that number continues to grow every year.
• Chairman, I continue. For Secretary Hatch. Thank you.
• I can just continue. Okay, thank you.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• its best wishes for continued success. its best wishes for continued success.
• these continuous off-ramps.
• of the open enrollment school?
• of the open enrollment school?
• <05:02:04.080> bill bills, and processing enrolled bill bills, and processing enrolled bill

Keywords: 1191, senate, all

Transcript Highlights:

• enrollment time, Mr.
• enrollment time, Mr.
• > special<00:13:46.160> enrollment<00:13:46.720> periods there's other special enrollment
• <01:20:25.480> to and so we look forward to continuing to and so we look forward to continuing
• <01:41:46.440> to authorities remain and continue to authorities remain and continue to remain

Bills: HF2335, HF2400, HF2401, HF2522

Keywords: Medicare, health insurance, supplement policies, preexisting conditions, medical assistance, premium classification, real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, continuing education, out-of-state, licensing, commerce, fraud prevention, automobile theft, law enforcement, insurance crimes, 1183

Transcript Highlights:

• <00:02:40.239> the of our new student enrollment the of our new student enrollment the largest
• Otherwise, we'll go to the next testifier. increases enrollment retention and increases enrollment retention
• We have 9,400, a little bit more than that, total student enrollment.
• We have 9,400, a little bit more than that, total student enrollment.
• have an exemption there uh continuing have an exemption there uh continuing education<01:26:44.760

Keywords: 1183, house

Transcript Highlights:

• Many Minnesota students participate in dual enrollment or postsecondary enrollment options, which follow
• Many Minnesota students participate in dual enrollment or postsecondary enrollment options, which follow
• stakeholders to keep at it to continue stakeholders to keep at it to continue shifting<01:17:58.440
• <01:26:49.600> to a perverse incentive to continue to a perverse incentive to continue to
• <01:32:00.000> and maybe even absenteeism enrollment and maybe even absenteeism enrollment

Keywords: 1187, senate, all

Transcript Highlights:

• Most recipients enrolled in Medicaid are enrolled in a Medicaid health plan, where the health plans can
• The governor is recommending $20 million in general revenue funding to continue enrollment of individuals
• Chairman, I continue. For Secretary Hatch. Thank you.
• I can just continue. Okay, thank you.
• Let's continue on.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• Senate Bill 88 is ordered enrolled, and the Assembly is to be notified of our action.
• Senate Bill 128 is ordered enrolled, and the Assembly is to be notified of our action.
• Senate Bill 348 is ordered enrolled, and the Assembly is to be notified of our action.
• Senate Bill 477 is ordered enrolled, and the Assembly is to be notified of our action.
• Senate Bill 496 is ordered enrolled, and the Assembly is to be notified of our action.

Keywords: 909, all

Transcript Highlights:

• diploma are prohibited from being dual enrolled in our state colleges.
• With that, dual enrollment costs state colleges.
• If they have 30 students in that dual-enrolled course, it costs the state college $83,760.
• Our doors are always open; my door is always open, and I hope we can continue the dialogue.
• They must meet that 4.0 threshold to continue to contract as a School Readiness or VPK provider.

Summary: The Education Administration Subcommittee held an introductory meeting focused largely on member introductions and “homework” reports about education issues in each district. Members raised a wide range of concerns and priorities, including early childhood care and VPK access, school choice and school closures, teacher recruitment and retention, conflict resolution and school safety, early literacy and preparedness, technology and AI/STEM instruction, attendance and mental health, ESE services, dual enrollment and career/technical education, caregiving youth, and real-time student enrollment/funding tracking. Several members also emphasized local challenges such as housing-driven teacher turnover, disaster-related attendance problems, and funding inequities across counties. The committee then heard a detailed presentation on Florida’s early learning system from Chancellor Carrie Miller of the Department of Education’s Division of Early Learning. She outlined the structure and funding of School Readiness, VPK, and the Gold Seal Quality Care program, the role of early learning coalitions and DCF, and the state’s quality and accountability measures. She highlighted the importance of kindergarten readiness, teacher quality, and the new School Readiness Plus program, which helps families transition off subsidy more gradually. Additional panelists from the Children’s Forum, the Early Learning Coalition of Miami-Dade/Monroe, and a Tallahassee child care provider discussed workforce shortages, low wages, provider turnover, the TEACH scholarship program, Help Me Grow, local coalition operations, and the need for more providers and more consistent regulation. During questions, members asked about wait lists, special needs services, teacher retention, provider onboarding, and DCF regulation. The panel said Miami-Dade’s wait list was about 4,000 children and described priority categories for service; they also said children with disabilities are screened and referred for support, though not given a separate priority category. Panelists reported that TEACH has helped reduce turnover through education support and service commitments, but said wages and career pathways remain major issues. Members also pressed for clearer, more consistent licensing standards and more support for new providers entering the field. No formal votes or committee actions were taken in the meeting.

Transcript Highlights:

• And there's a continued focus on affordability as our leadership has continued to steer us in.
• We worry that these rates of hunger will continue to rise if action is not taken.
• Increased CalFresh participation reflects our continued effort as well as the continued need for benefits
• So we will continue to pursue those flexibilities.
• Continue to bless you for doing this hard work.

Summary: The joint informational hearing focused on CalFresh enrollment, food insecurity in California, the recent federal shutdown’s disruption of SNAP benefits, and the long-term effects of H.R. 1 on eligibility, benefits, and state and county costs. Opening remarks emphasized that millions of Californians rely on CalFresh, that the shutdown briefly delayed benefits for the first time in the program’s history, and that state and local governments, including Alameda County, stepped in with emergency food aid and funding. Members also framed the issue as both a hunger and affordability problem, with several noting that California’s agricultural abundance contrasts sharply with persistent food insecurity. The first panel presented research and advocacy perspectives on food hardship. PPIC’s Tess Thorman described food insecurity rates, disparities affecting households with children and Black and Latino households, and the role of nutrition programs in reducing poverty. Nourish California’s Betzabel Estudio argued that hunger is a policy choice and highlighted campaigns to expand state-funded food assistance for immigrants, support reentry populations, and continue the CalFresh fruit-and-vegetable incentive program. The California Association of Food Banks’ Josh Wright said food banks are seeing sustained high demand, lower federal food supplies, and cannot replace CalFresh, while urging more state support for food purchasing, school meals, and SunBucks. The second panel reviewed CalFresh operations and participation. The California Department of Social Services reported that CalFresh participation has risen over the past decade, with the state closing much of the participation gap through outreach, simplified applications, and demonstration projects such as the Elderly Simplified Application Project and a minimum nutrition benefit pilot. Alameda County Social Services described local caseloads, application trends, and emergency food distributions during the shutdown, while also warning that H.R. 1’s work requirements, immigrant eligibility restrictions, and possible cost-sharing could reduce enrollment. A student CalFresh ambassador testified about the burdensome application and recertification process and urged more funding for campus basic-needs centers and outreach to reduce stigma and administrative friction. In the final panel, county, food bank, and policy witnesses described the shutdown response and the expected impact of H.R. 1. Alameda County Community Food Bank and the County Welfare Directors Association said counties, food banks, and community partners mobilized emergency funds, pop-up pantries, and food purchasing to bridge the shutdown gap, but warned that hundreds of thousands of Californians could lose benefits under the new federal rules. The California Budget and Policy Center began outlining the scale of federal cuts, noting that H.R. 1 will significantly reduce SNAP funding and shift costs to states. No votes or formal committee actions were taken; the hearing was informational and concluded with discussion of possible state responses, including backfilling benefits, preserving outreach funding, and improving administrative systems to protect enrollment.

Transcript Highlights:

• we did not give any authority to the podiatry board to oversee where they got their continuing ed.
• So this just gives them the continuing ed authority over that. Move adoption over for questions.
• are seeing a continuing shrinkage in the pharmacy space.
• year in and year out to let the monopoly continue, and is... ...that we continue year in and year out
• I mean, if it continues, we won't even have any place to go get drugs.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• His commitment to advancing hospital performance, clinical education, and patient-centered care continues

Bills: HB3840, HB3431, HB4422, HB4117, HB4300, HB4298, HB2984, HB3344, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951, HB3469, HB3173, HB3287, HB2947, HB3784, HB3901, HB4275, HR1031, HB4359, HB4115, HB3467, HB2978, HB3026, HB3032

Keywords: foreign ownership, land acquisition, military installation, critical infrastructure, affidavit requirements, state law, penalties, Attorney General, foreign ownership of land, foreign adversary, foreign government adversary, foreign government enterprise, foreign government entity, foreign terrorist organization, specially designated national, SDN, FTO, critical minerals, land ownership, real property

Bills: SB 2, SB 3, SB 4, SB 5, SB 6, SB 7, SB 8, SB 9, SB 10, SB 11, SB 12, SB 13, SB 14, SB 15, SB 16, SB 17, SB 18, SB 34

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, redistricting, election

Transcript Highlights:

• This legislative session, the House continues... continue to build on this momentum, investing a historic
• The ABC provides funding on an enrollment, excuse me, and on an enrolled student basis, relieving budget
• They are distributed based on enrollment funding.
• The ABC provides enrollment-based funding.
• And as I continue to learn, sir, I will continue to ask you questions, whether we talk about it on the

Bills: HB5560, HB2, HB24, HB3233, HB1397, HB2067, HB3133, HB5696, HB5680, HB2885, HB3966, HB3556, HB3595, HB144, HB26, HB2038, HB521, HB4, HB 1178, HB42, HB 1211, HB783, HB3963, HB2240, HB1690, HB 1234, HB3372, HB27, HB4211, HB2243, HB2853, HB4638, HJR7, HB 100, HB 126, HB3783, HB5138, HB2512, HB5616, HB4751, SB17, SB1637, SB1833, SB2155, SB21, SB2778, SB260, SB8, SB12, SB37, SB379, SB441, SB1566, SB2878, HB4112, HB3866, HB4749, HB2844, HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Bills: HB5560, HB2, HB24, HB3233, HB1397, HB2067, HB3133, HB5696, HB5680, HB2885, HB3966, HB3556, HB3595, HB144, HB26, HB2038, HB521, HB4, HB 1178, HB42, HB 1211, HB783, HB3963, HB2240, HB1690, HB 1234, HB3372, HB27, HB4211, HB2243, HB2853, HB4638, HJR7, HB 100, HB 126, HB3783, HB5138, HB2512, HB5616, HB4751, SB17, SB1637, SB1833, SB2155, SB21, SB2778, SB260, SB8, SB12, SB37, SB379, SB441, SB1566, SB2878, HB4112, HB3866, HB4749, HB2844, HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Transcript Highlights:

• <00:07:39.680> our And we are committed to continuing our And we are committed to continuing
• <00:09:14.720> to lot more to do and we will continue to lot more to do and we will continue
• , provider enrollment, provider enrollment, creating<00:09:54.800> unique<00:09:55.440>
• <00:24:41.679> to past 7 months um we have continued to past 7 months um we have continued
• the provider enrollment requirements. the provider enrollment requirements.

Keywords: 1183, house

Transcript Highlights:

• And so we continue to collectively work together to improve outcomes.
• We believe we can continue to drive these outcomes.
• And so we now can enroll people directly in MassHealth.
• We are asking everybody and we'll enroll or work with anybody.
• And so we can do the re-enroll. We can do a fresh one."

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met to approve the May 5 minutes and hear a presentation from the Massachusetts Probation Service. The minutes were approved unanimously, with a request that a member’s closing remarks be added to the record. The commission also noted online participants and confirmed quorum before moving to the presentation. Probation leaders described the agency’s role as the state’s largest post-release supervision system and emphasized its focus on reentry, accountability, and reducing technical violations. They outlined the from-and-after sentencing structure, dual supervision with parole, and efforts to reduce revocations and non-criminal violations. Members asked about racial and ethnic disparity work, and probation said that effort is funded through the trial court and state budget, not federal grants. The presentation highlighted community engagement, simplified and translated probation conditions, workforce diversification, and training aimed at improving trust and access for court users. A major portion of the discussion focused on Community Justice Support Centers, evidence-based programming, and shared services such as housing, MassHealth enrollment, transportation, and behavioral health referrals. Probation said the centers are underutilized but have shown improved outcomes in non-randomized studies, with lower recidivism among participants compared with similar probationers. Members discussed mental health access, veterans identification, medication-assisted treatment, and the importance of state IDs and driver’s licenses for successful reentry. The commission also heard about housing supports, including transitional and sober housing, and a statewide behavioral health initiative for justice-involved individuals. The meeting ended with plans for the next session on July 11 and a motion to adjourn, which passed.

Transcript Highlights:

• What's your total enrollment currently?
• So, you know, if an institution decided to continue current practice, I think things would, would continue
• They could choose to continue to do it. Yes. And the third choice.
• But in some instances, colleges could continue to do exactly what is being done right now.
• We've been looking at this trend for over 10 years, and it's going to continue to grow.

Transcript Highlights:

• continue to operate. Yeah. continue to operate. Yeah.
• We have 30 patients enrolled.
• We have 30 patients enrolled.
• We have 30 patients enrolled. setting. We have 30 patients enrolled.
• research warrants continued expansion. research warrants continued expansion.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• Or Derek, you can continue? Okay.
• Member was enrolled.
• So we continue to see the benefits of that. There are, it did not address all issues.
• We've made some progress, but registered nurses continue to be an area of concern.
• Currently, employees must renew these pre-tax elections each year during open enrollment.

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• And our students continue to praise the tuition at in-state levels.
• The governor's budget continues to support these efforts.
• And Florida's universities, moving to the next slide—continue.
• So I'm not surprised to see that I'm continuing to work for them by doing their presentations.
• I want to stick to the dual enrollment.

Summary: The Appropriations Committee on Higher Education heard a presentation from the Governor’s Office on the proposed education budget, which totals $32.5 billion overall and includes no tuition or fee increases for Florida residents. Officials highlighted major funding for financial aid and scholarships, including Bright Futures, Benacquisto, veteran-related scholarships, EASE, Open Door, law enforcement/first responder programs, and workforce initiatives. They also emphasized increases for workforce education, Florida College System operations, nursing pipeline and line funds, and university operations, performance funding, and faculty recruitment and retention. Committee members asked questions about the Ocoee Scholarship, the proposed post-secondary Guardian program, and how university recruitment and retention funds would be used; officials said the Ocoee Scholarship remains funded at current levels, the Guardian program would offer flexible campus safety options, and the university funds would be distributed to institutions for faculty recruitment and retention without additional directives. The committee then heard from a series of appointees and reappointees to boards of trustees for state colleges and universities, who described their backgrounds and priorities. Testimony consistently focused on affordability, workforce alignment, nursing and allied health programs, dual enrollment, adult learners, and local economic needs. Several trustees highlighted strong nursing NCLEX pass rates, expansion of campuses or programs, and efforts to tailor education to regional workforce demands such as health care, construction, law enforcement, aviation, and hospitality. One appointee from Miami-Dade College emphasized helping adult students return and complete degrees by easing credit transfer and admissions barriers. After hearing from the appointees, the committee took up the full slate of confirmations as a block. A motion was made and the roll was called; the confirmations were approved favorably, with members voting yes and no opposition recorded. The committee then adjourned.