Bills: SB3074, HB49, HB2440, HB3556, HB3619, HB3866, HB4042, HB4112, HB4271, HB4413, HB4426, HB5033, HB49

Keywords: SB 3074, TCEQ, Texas Commission on Environmental Quality, Water Code, permit applications, environmental permitting, administrative record, ex parte communications, legislative communications, governor, lieutenant governor, state legislators, district projects, public records, recusal, conflict of interest, substantial interest, agency transparency, environmental regulation, permit renewal

Bills: SB3074, HB49, HB2440, HB3556, HB3619, HB3866, HB4042, HB4112, HB4271, HB4413, HB4426, HB5033, HB49

Keywords: SB 3074, TCEQ, Texas Commission on Environmental Quality, Water Code, permit applications, environmental permitting, administrative record, ex parte communications, legislative communications, governor, lieutenant governor, state legislators, district projects, public records, recusal, conflict of interest, substantial interest, agency transparency, environmental regulation, permit renewal

Transcript Highlights:

• I'm here to present AB 1382, the Ethics Over Aesthetics Act, which would prohibit the sale of genetically
• modified animals where the genetic modification is for cosmetic purposes.
• These genetic modifications run the risk of prioritizing aesthetics over the well-being of the animal
• and is explicitly curated to target animals genetically modified for the sole purpose of sale.
• From 2003 to 2016, the Fish and Game Commission banned the sale of genetically modified fish.

Keywords: 987, senate, all

Summary: The Senate Business, Professions and Economic Development Committee met without a quorum at first and began hearing bills as a subcommittee. The chair outlined procedures, noted several consent items, and the committee heard presentations on AB 277, AB 1382, and ACR 173 before quorum was established. AB 277 would require background checks for unlicensed employees providing behavioral health treatment; the author and CalABA argued it would protect children and people with disabilities, and the bill later passed 6-0. AB 1382, the “Ethics Over Aesthetics Act,” would prohibit the sale of genetically modified animals for cosmetic purposes, with supporters citing animal welfare, shelter overcrowding, and the need to avoid novelty pet breeding; it also passed 6-0 after amendments removed opposition concerns about glowfish. ACR 173 would recommend formalizing a sister-state relationship between California and Jalisco, Mexico, emphasizing cultural, economic, and educational ties and calling for immigration protections. One senator objected to language referencing “recent mass deportations,” saying it was unnecessarily political and inaccurate in context, and said he would abstain rather than vote no. After quorum was reached, the committee approved the consent calendar, including AB 2085, AB 1733, ACR 129, ACR 164, and ACR 166, by a 6-0 vote. Once quorum was established, the committee voted 6-0 to pass AB 277 to the Senate Public Safety Committee and AB 1382 to the Senate Judiciary Committee. ACR 173 was adopted on a 4-0 vote, and the committee granted reconsideration so the author could potentially address the concern raised about the resolution’s language.

Transcript Highlights:

• , I think calls all senior Goldsmith modification of a 1992 that defines the rural areas.
• So I do think that the combination of having a smart position and a genetic counselor in addition to
• So, first off, what is rapid whole genome sequencing is is a comprehensive genetic test that analyzes
• And it says it's the most comprehensive genetic test available analyzing all genes and DNA between the
• So identify genetic issues, including rare conditions that might otherwise go undetected.

Transcript Highlights:

• Senators, we will now take up tab 17, CS for SB 1376 on grants for genetic counseling education by Senator
• This bill seeks to address the shortage of genetic counselors in our state by establishing an education
• grant program to support students pursuing a career in genetics and the state universities that are
• requirements for performance-based aerobic systems, including maintenance reporting and operating permit modifications

Bills: S0042, S0688, S0762, S1168, S1296, S1298, S1300, S1318, S1332, S1376, S1548, S1570, S1574, S1632, S1634, S1750

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, criminal defense, legal representation, death penalty, indigent defense, regional counsel, conflict of interest, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Bills: HB1784, HB1245, HB1268, HB2116, HB2193, HB2206, HB1739, HB1889, HB1904, HB3172, HB4225, HB4352, HB3625, HB4263

Keywords: education reform, local control, student outcomes, curriculum changes, school funding, retirement, pension, public employees, Oklahoma Public Employees Retirement System, benefits, survivorship, contribution rates, disability retirement, deferred option plan, service credit, contributions, distributions, HB2116, Oklahoma Law Enforcement Retirement System, OLERS

Transcript Highlights:

• <00:25:16.600> It prior authorization modifications.
• It prior authorization modifications.
• <00:35:01.080> clinical modifications to the rural clinical modifications to the rural clinical
• It deals with modifications to the insulin safety net program. That was the A6 amendment.
• modifications to the insulin safety<00:37:43.000> net<00:37:43.280> program.

Keywords: 1187, senate, all

Transcript Highlights:

• Um modifications.
• Um modifications.
• A genetic fault.
• your genetic data. your genetic data.
• consumers genetic data. consumers genetic data.

Keywords: 927, senate, all

Transcript Highlights:

• This bill would prohibit the sale of genetically modified animals when those genetic modifications are
• AB 1382 seeks to draw a clear and responsible line by ensuring that animals are not genetically altered
• By ensuring that animals are not genetically altered simply to meet novelty preferences, genetic modification
• As I made clear throughout the committee process, AB 1382 does not inhibit legitimate genetic or medical
• Additionally, I... ...have been genetically modified for cosmetic purposes.

Summary: The Assembly convened, established a quorum, offered a prayer and Pledge of Allegiance, and then took up a long third-reading file with several guest introductions and ceremonial resolutions. Early floor action included AB 713, allowing undocumented students equal access to campus jobs at UC, CSU, and community colleges, and AB 1049, streamlining California Food Assistance Program applications for low-income immigrant families; both passed. The body also defeated an amendment to AB 1421, a bill to begin studying a statewide mileage-based road user charge, before passing the measure. AB 1171, modernizing part-time community college faculty health insurance access, also passed with strong support. The Assembly then approved a series of policy bills on animals, domestic violence, telehealth for autism services, forestry, false lien filings, tianeptine restrictions, housing, common interest development fee transparency, prison sexual abuse accountability, PBM reporting, foster youth benefits protections, illegal dumping and abandoned RV removal, condo financing/liquidated damages, public contracting, pension-related study language, climate resiliency research funding, and a disposable vape reduction measure. Most passed with broad margins; AB 762 on vapor inhalation devices drew the most debate, with supporters emphasizing landfill fires and public health and opponents warning about revenue losses and illicit-market growth, but it still passed. AB 1406 on condo development financing drew extensive discussion about housing affordability and consumer protections before passing. The chamber also adopted three resolutions: ACR 120 declaring January 2026 Positive Parenting Awareness Month, ACR 121 designating January 2026 National Mentoring Month, and ACR 122 designating Anesthesiologist Week. Later, the Assembly concurred in Senate amendments on AB 1485, extending welfare-tax exemption treatment to federally recognized tribes holding land for conservation, and adopted the consent calendar, which included several additional bills and SCR 6. The session ended with adjournment until February 2, 2016, after which several members recorded vote changes from the floor.

Transcript Highlights:

• ,<00:14:08.959> good what contributes to good genetics, good what contributes to good genetics
• continue broadening their genetics or strengthening their genetics, or bringing new genetics into their
• their genetics or continue broadening their genetics or strengthening<00:17:12.799> their<00:
• genetics or bringing strengthening their genetics or bringing new<00:17:14.880> uh<00:17:15.199
• :17.199> so<00:17:17.439> they new uh genetics into their zoo so they new uh genetics into

Keywords: 1187, senate, all

Transcript Highlights:

• Members, uh, Senate Bill 904 makes a modification related to the use of public funds and state facilities
• Some modifications to alcohol licensing requirements, specifically related to certain liability insurance
• Designation, so an illustration could be that Stevenson Cancer Center is doing genetic testing and they're
• trying to find different therapies that match genetics for treatment.
• Genetic profile to breast cancer.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Transcript Highlights:

• uh misuse of someone's genetic material misuse of someone's genetic material misuse of someone's genetic
• It's my genetic personal data data. It's my genetic personal data data.
• material or not material genetic genetic material or not material genetic genetic material or not material
• genetic data, right?
• uh conducting genetic testing procures uh conducting genetic testing procures uh conducting genetic

Bills: HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HCR 77, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HJR 5, HJR 2, HB 1399, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1672, HB 1722, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 1445, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2558, HB 2742, HB 1695, HB 33, HB 144, HB 109, HB 103, HB 148, HB 3809, HB 2217, HB 220, HB 2421, HB 2363, HB 421, HB 2455, HB 3711, HB 2559, HB 2775, HB 3126, HB 3666, HB 3595, HB 3260, HB 3376, HB 3826, HB 3770, HB 1831, HB 2614, HB 3113, HB 322, HB 431, HB 869, HB 1203, HB 1244, HB 1875, HB 1950, HB 2152, HB 2341, HB 2809, HB 2856, HB 3012, SB 1415, SB 1058, SB 487, SB 1499, SB 513, SB 1697, SB 1197, SB 1437, SB 1809, SB 836, SB 1879, SB 1145, SB 963, SB 1038, SB 1147, SB 914, SB 711, SB 1409, HB 3707, HB 589, HB 1360, HB 2337, HB 2391, HB 718, HB 23, HB 2436, HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HCR 77

Keywords: Information Resources, Department governance, cybersecurity, state assistance, procurement training, technology resources, advisory committees, water fund, Texas water supply, constitutional amendment, state revenue, infrastructure, parental rights, child upbringing, government interference, Texas legislation, science park district, economic development, technology innovation, higher education collaboration

Transcript Highlights:

• to seed potato provisions modifications to seed potato provisions and<01:10:34.239> chapter<01
• Uh this would deal with a unique situation to try to bring in more bio genetic diversity for reindeer
• try to bring in more bio genetic try to bring in more bio genetic diversity<01:44:34.000> for
• diversity and the the need for genetic diversity and the the need for that<01:44:52.400> in<01
• diversity, and continue working genetic diversity, and continue working with<01:47:47.199> the

Keywords: 1187, senate, all

Transcript Highlights:

• This is sentence modification. I apologize.

Bills: SB709, SB2089, SB2090, SB2108, SB2211, SB2250, SB2325, SB2803, SB2866, SB3245

Keywords: mental health, crisis intervention, assisted community treatment, treatment orders, law enforcement training, public safety, court-ordered treatment, Medicaid, healthcare access, unlicensed professionals, supervised services, workforce development, mental health equity, child custody, evaluations, licensed counselors, family court, juvenile justice, waiver of jurisdiction, transfer to adult court

Summary: The committee heard SB 709 SD2, which would require the Department of Health to respond to reports involving persons with severe mental illness, assess eligibility for assisted community treatment, and coordinate treatment when appropriate. Testimony from the Department of Human Services and the Department of Health supported the measure, with DOH saying it generally supported the bill but had comments on one section it viewed as unnecessary. The Department of Law Enforcement later explained that the bill would shift certification and standards for crisis intervention officer training from DOH to DLE, while still involving DOH in the training process. Opposition came from the Hawaii Disability Rights Center and an individual testifier, both of whom argued the bill expands state authority over people with mental illness and could worsen forced treatment practices. The Disability Rights Center also raised procedural concerns, saying the bill was effectively moved from a prior administration measure that had not been heard this session, and questioned whether the bill’s changes to assisted community treatment, blood tests, urinalysis, and living arrangements went beyond current law. The individual testifier argued the bill would further entrench harmful psychiatric drugging and urged the committee to defer it. Committee members questioned the administration about the bill’s process, the role of the Attorney General in treatment-over-objection proceedings, and the practical effects of moving CIT certification to DLE. The Attorney General’s office said the bill was intended to fill a gap by allowing it to assist with treatment proceedings, while public defenders would continue to represent respondents and due process protections would remain in place. DLE and DOH said the change would better align certification with law enforcement training needs, improve speed in crisis response, and still keep DOH involved; members also discussed whether WAM counted as a hearing and whether the bill should more explicitly preserve DOH’s role. No vote or final action was taken in the portion provided.

Transcript Highlights:

• :42.559> inherited<01:03:43.200> cancer genetic testing for inherited cancer genetic testing
• <01:04:38.480> Genetic alone is genetic testing. Genetic alone is genetic testing.
• > individuals<01:04:50.960> and genetic testing help individuals and genetic testing help
• seen that um in the past, genetic seen that um in the past, genetic testing<01:05:12.640> for
• <01:09:26.159> testing and equitable access to genetic testing and equitable access to genetic

Keywords: 1187, senate, all

Transcript Highlights:

• We're going to begin with our discussion of Senate File 4561, agricultural policy provisions and modifications
• So this has to do a lot with wild fish genetics that are of important value to Minnesota's fisheries.
• So, this has to do a lot with genetics.
• So, this has to do a lot with wild<00:19:22.880> fish<00:19:23.120> genetics<00:19:23.560
• that are of of of wild fish genetics that are of of of important<00:19:24.960> value<00:19:25.480

Keywords: 1187, senate, all

Transcript Highlights:

• We are in support of including those modifications as we bring the statutes together to be more consistent
• We are in support of including those modifications as we bring the statutes together to be more consistent
• We are in support of including those modifications as we bring the statutes together to be more consistent
• Even if a donor-conceived adult later wants or needs to learn about their genetic origins, following
• Donor-conceived individuals are denied key pieces of their genetic and medical stories.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard SB 1231, which would repeal the Parentage Uniform Act of 1973 and update Hawaii’s parentage laws, including parts of the Uniform Parentage Act of 2017. Supporters said the current statutes are outdated and do not adequately address assisted reproduction, surrogacy, and modern family formation. The Attorney General’s office supported the bill with technical amendments, including conforming changes to the Probate Code and child support provisions, and several testifiers urged passage as a needed modernization of the law. A major point of disagreement was Part 10, which concerns donor anonymity. Some supporters, including members of the task force, the Uniform Law Commission, fertility and family law practitioners, and LGBTQ+ advocates, backed the bill as written or said it should move forward even if Part 10 is removed. Others, including donor-conceived adults, parents, and advocacy groups, opposed Part 10 and urged the committee to adopt the 2024 version of Article 9 or delete Part 10 entirely, arguing that anonymous donation harms donor-conceived people’s access to genetic, medical, and identity information and that anonymity is not realistic in the DNA-testing era. One task force member and attorney said she supported the bill but preferred removing Part 10 if necessary to pass the rest. The hearing included extensive public testimony both in support and opposition, with many individuals describing personal experiences with adoption, IVF, surrogacy, and donor conception. No committee vote or final action on the bill was taken during the portion of the hearing provided.

Bills: HB151, HB152, HB138, SB221, SB190, SB69, SB225, SB272

Keywords: fire chaplains, distinctive license plate, firefighter, volunteer service, criminal penalties, sales tax exemption, baby supplies, baby formula, maternity clothing, menstrual hygiene products, pregnancy, pregnant defendant, incarceration, jail intake, pregnancy test, bail, pre-incarceration probation, supervised probation, electronic monitoring, electronic supervision

Transcript Highlights:

• Secondly, it would give online access to contracts and proposed addenda or modifications to contracts
• Both parties, the PBM and the pharmacy, would have to agree to the modifications.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• We would like to see some modifications in the program.
• was designed to help our youngest and most vulnerable Floridians who suffer from rare diseases and genetic
• Eighty percent of those are genetic in origin and present themselves in early childhood or at birth,
• I am the Vice President of Market Access for GeneDx, and GeneDx is the leading lab provider of genetic
• I'm president of market access for GeneDX, and GeneDX is the leading lab provider of genetic testing

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.