Transcript Highlights:

• for Medicaid.
• So, I really want to champion maternal health care and look...
• much we care about our mothers and babies.
• Your income would qualify for Medicaid, and we would assume that for pregnancy Medicaid.
• . ...did not get care until the second trimester.

Bills: HB30, HB35, HB72, HB89, HB30, HB35

Keywords: elections, post-election audit, election audit, risk-limiting audit, ballot audit, election integrity, voter confidence, Secretary of State, judge of probate, canvassing board, poll watchers, ballot containers, manual tally, recount, county election, statewide election, general election, absentee ballots, provisional ballots, election transparency

Transcript Highlights:

• Under federal law, newborns of Medicaid enrolled mothers should be automatically enrolled in Medicaid
• By ensuring that notification of being able to use mom's Medicaid ID for early care is provided to all
• And I have you as Alec Mendoza, Texans Care for Children, Texans Care for Children, and you're for the
• Under federal law, if a mother enrolled in Medicaid, uh, is enrolled in Medicaid when she delivers a
• I care about you.

Bills: HB 2646, HB 3941, HB 5153, HB 5155, HB 5394, HB 1106, HB 426, HB 4529, HB 3984, HB 4273, HB 1097, HB 3940, HB 1941, HB 4377, HB 3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• We want to manage ourselves."
• We<00:24:06.000><c> want</c><00:24:06.160><c> to</c><00:24:06.240><c> manage</c><00:24:06.640><c> ourselves
• </c> We want to manage ourselves." We want to manage ourselves."

Bills: HB163, HB344, SB11, SB92, SB164, HB22, HB89, SB227, SB6

Keywords: income tax, research expenditures, economic development, tax deductions, Tax Cuts and Jobs Act, Alabama tax law, educational intervention, State Superintendent, local boards of education, subpoena, accountability, state control, electric vehicles, registrations, license tax, public transportation, funding infrastructure, K-12 education, wireless communication devices, digital safety

Transcript Highlights:

• I don’t care who gets the credit; I think we need to do something.
• This is just a matter of not having to wait the 3 months in order to get the care.
• If you are pregnant, you qualify for Medicaid.
• So it took care of that with both those issues.
• It took care of that with both those issues, and I appreciate you guys working with me.

Bills: HB52, HB89, HB141, HB52, HB89, HB141

Keywords: income tax, CHOOSE Act, education funding, ABLE account, tax credits, poverty threshold, legislative funding, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination

Transcript Highlights:

• , necessary intervention care, and primary care. provided by a physician, outpatient mental health care
• and preventative care.
• Care, allowing doctors to take the best care possible of these patients.
• The biggest one, of course, is just medical care in general, both primary care and emergency care.
• We had horrible access to emergency care, as well as primary care.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Necessary to safely care for a child until the dental care is deferred long enough to create an acute
• In fact, currently, Medicaid, CHIP, TRICARE, and 30 other states require this coverage.
• This also increases the number of visits to the emergency room, purely relating to deferred care.
• This bill is needed so we can provide timely care to patients.
• We appreciate this careful approach adopted by the committee.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• In fact, currently Medicaid, CHIP, Tricare, and 30 other states require this coverage.
• Purely relating to deferred care.
• Uh, this bill's needed to ensure we can provide timely care to patients.
• they have so much more disease there, and Medicaid has very strict.
• We appreciate this careful approach adopted by the committee set for 1283.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• TMA on this list: emergency care, interventional necessary care, and primary care provided by a physician
• care.
• Because there is urgent care out there. Exactly, there is urgent care.
• Because there is urgent care out there. Exactly, there is urgent care.
• urgent care.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• So this is a timely bill, so external audit of Medicaid managed plans may reveal much... higher levels
• Now, responsible at both federal and state different governments, as well as the managed care organizations
• So most of the systems that most people in Medicaid are under are actually managed care organizations
• and managed care plans.
• young adults and by moving our extended care. benefits to age 23 and Medicaid to 26, they can complete

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• Under federal law, newborns of Medicaid-enrolled mothers should be automatically enrolled in Medicaid
• ID for early care is provided to all individuals at their appointments.
• I have you as Alec Mendoza from Texans Care for Children.
• Any delays in medical care can cause significant health issues for children.
• That is uploaded into our impact case management. system, just as an image document.

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• care.
• Many have accepted the managed care pilot program, many have accepted to go into that, and then we've
• Robert Astellos: Family care councils, two things for us.
• Emmett Reed, Florida Health Care Association, waving in support.
• Florida Health Care Association, waving in support.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• management.
• providing medical care.
• I think that you all are here because you care about access to health care for people.
• Our services we provide to acute care facilities, small and large health care acute care hospitals, and
• This is manageable.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• Thanks to the Medicaid expansion and other steps such as the creation of the Health Care Affordability
• Thanks to the Medicaid expansion and other steps, such as the creation of the Health Care Affordability
• So for those individuals that will qualify for Medicaid, they ought to Medicaid.
• So for those individuals that will qualify for Medicaid, they automatically are routed to Medicaid.
• Hospitals have uncompensated care.

Bills: SB241, SB145, HB2

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:

• Medicaid and mental health were both reduced by 5 million each.
• I was looking at the Medicaid information and I was trying to understand, I guess you just mentioned
• ..assessment and Medicaid funding program extended for fiscal year 2028.
• Is this different than what we do now in consultation with the Alabama Medicaid agency?
• State match, $2 million for the Medicaid State match, $2 million for the Medicaid State match, $2 million

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• </c> physicians across the health care field. physicians across the health care field.
• </c> relating to home health care licensing. relating to home health care licensing.
• </c> lack of psychiatric care. lack of psychiatric care.
• Thank you. wrap-around care. Two days of medicine wrap-around care.
• </c> I managed the cost, but not all can. I managed the cost, but not all can.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• I just think we need to be very careful with that.
• I just think we need to be very careful with that.
• The requirement for health care providers to determine...
• I had a conversation with my primary care doctor.
• And health care doesn't happen in isolation.

Bills: S1082, S1168, S1756, S1156, S1480

Keywords: provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.

Transcript Highlights:

• This is Yes, it could be for foster care as well.
• in foster care?
• House Bill 3650 extends to managed care rate floor for one more year to July 1 of 2028.
• care.
• care in the next couple of years.

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Transcript Highlights:

• care?
• care?
• House Bill 3650 extends the managed care rate floor for one more year to July 1, 2028.
• House Bill 3650 extends the managed care rate floor for one more year to July 1 of 2028. 50 extends the
• managed care rate floor for one more year to July 1 of 2028.

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Summary: The Senate Health and Human Services Committee first considered the nomination of Christy D. Fisher to the Board of Examiners for Speech-Language Pathology and Audiology. Senator Stanridge presented her as a lay member with legal and paralegal experience, and Fisher spoke about her family’s experience with speech therapy and autism-related speech needs. After brief questions, the committee advanced the nomination on an 8-2 vote. The committee then heard several bills, including measures creating an Early Childhood Task Force (HB 1979), clarifying that Oklahoma has always prohibited sex-to-gender-identity amendments on birth certificates (HB 1225), and establishing a process for correcting death certificates after one year (HB 3931). Members also advanced a bill restricting edible medical marijuana products from being attractive to children (HB 4454), updating the mentoring program for children of incarcerated parents (HB 3849), and allowing juvenile safety plans to take effect if not acted on within 24 hours (HB 1746). Other bills addressed local food sales thresholds (HB 3720), allowing case managers and peer support specialists to work for cities and counties (HB 4275), DHS background-check and email-notice updates for child care centers (HB 4300), and a clarification that raising a child consistent with biological sex is not child abuse and that adoption cannot be denied solely over refusal to support a gender transition (HB 3586). The committee also advanced bills on Medicaid reimbursement for dementia cognitive assessments and care planning (HB 2268), juvenile detention medication funding (HB 3755), family resource centers including faith-based and workforce organizations (HB 4117), epilepsy insurance coverage protections (HB 4294), extending the managed care rate floor to July 1, 2028 with a carve-out for multi-state contracts (HB 3650), and child care reforms raising subsidy co-pays and directing DHS to set more flexible master-teacher ratios for certain facilities (HB 4298). Several bills were amended or worked from committee substitutes, and most passed on unanimous or near-unanimous votes, with HB 1225, HB 3586, and HB 4294 drawing some opposition. The committee adjourned after noting it would likely meet again later for additional executive nominations.

Transcript Highlights:

• It's carved out of most of the Affordable Care Act.
• That's all taken care of by the professional dispensing fee.
• There have been studies by the Journal of Managed Care Pharmacy showing when maximizers are included
• costs and promote innovation in health care.
• I represent the Pharmaceutical Care Management Association, the nation's trade association for the PBM

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• Medicaid and Medicare have...
• Yes, I think pharmacists have the care and they feel like they need to take care of their community and
• Medicaid more than $5 million.
• It's like health insurance from the 70s, before there was managed care.
• And then they're taken care of.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool