Transcript Highlights:

• Surgery methods have evolved, and pain control has evolved, but paw anatomy is the same.
• The University of Minnesota no longer teaches declaw surgery.
• Scratching is a teaches declaw surgery.
• It needs to 10 years after the surgery.
• ,<00:37:03.359> which still do perform declaw surgeries, which still do perform declaw surgeries

Keywords: 1183, house

Transcript Highlights:

• I practiced in vascular surgery in Birmingham for about 10 years before I made the transition over to
• I practiced in vascular surgery in Birmingham for about 10 years before I made the transition over to
• We assist in surgery, substances.
• practice in surgery you're always with<00:19:39.520> your<00:19:39.760> surgeon.
• So I couldn't want to do surgery and have a pediatrician as my collaborative physician.

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• <04:24:23.199> was rash disappeared and the surgery was rash disappeared and the surgery was
• they continue to perform this surgery they continue to perform this surgery but<04:37:41.680>
• <04:37:54.279> but refusing to perform the surgery but refusing to perform the surgery but
• <04:40:09.440> as regarding specifically the surgery as regarding specifically the surgery
• want the surgery do you want<04:41:06.040> this<04:41:06.200> surgery<04:41:07.080>

Keywords: 1189, house, all

Transcript Highlights:

• Surgeries. They've got it for me over here.
• say surgeries.
• I was one of those people who delivered services, oral surgery services, and I'm not an oral surgeon.
• I did quite a number of oral surgery procedures.
• Provided an increase in fees for their oral surgery services, knowing that they were not an oral surgeon

Keywords: 1204, all

Transcript Highlights:

• For me, it's just as important as surgery and hormone therapy.
• It reduces complications and helps avoid major surgeries down the road.
• During the surgery, I almost died as I had internal bleeding.
• I regretted having the surgery right away.
• No surgery or cross-sex hormones ever changed that.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• We did the surgery.
• big complications, Complications from the surgery.
• What is the protocol now after someone has surgery with you as an outpatient?
• But ahead of the surgery... That they don't always probably look at right away.
• before surgery.

Bills: HB2051, HB2324, HB2439, HB2457, HB2686, HB2837, HB2875, HB2953

Keywords: AHCCCS, lactation care, breastfeeding, health services, healthcare access, HB2324, fire code, fire marshal, state fire marshal, municipalities, cities and towns, county-owned buildings, county buildings, intergovernmental agreement, IGA, fire inspection, occupancy certificate, building inventory, local government, county government

Summary: The Committee on Regulatory Affairs and Government Efficiency approved the March 11, 2026 minutes and then heard several bills. HB 2686, a patient-protection measure for outpatient surgical facilities, would require surgeons to file and update a call-coverage plan for hospital complications; the sponsor said it would improve continuity of care and reduce emergency room confusion, and the committee recommended it do pass. HB 2051 would require AHCCCS contractors, subject to CMS approval, to cover breastfeeding and lactation services in multiple settings; supporters described it as a maternal and infant health measure, AHCCCS was neutral and noted a projected state cost of about $1.8 million, and the bill received a do-pass recommendation on a 6-0 vote with one member not voting. The committee also approved HB 2837, which requires compensation disclosure for testimony or written comments in municipal zoning matters and requires certain municipal board members or hearing officers to disclose and recuse for recent conflicts involving entities they served; the sponsor framed it as a transparency and conflict-of-interest bill, and it passed 6-0 with one not voting. HB 2875, concerning commercial drone delivery systems, was amended to allow local regulation of drone facilities near medium and large hub airports within a 2.5-mile buffer and to require consultation with airports; Zipline and industry groups supported the measure as providing regulatory clarity, and the committee adopted the amendment and recommended the bill do pass. HB 2324 would let cities with their own fire codes, through an intergovernmental agreement, have city fire inspectors enforce those codes on county-owned buildings in city limits when state enforcement is burdensome; county and fire officials said it would resolve jurisdictional confusion, and the bill passed 6-0 with one not voting. HB 2439 would exempt single-user public or semi-public cold plunges from ADEQ spa rules, and an amendment removed ADEQ rulemaking authority; county health representatives said the change would reduce confusion, but one member raised public-health concerns, and the amended bill passed 4-2 with one not voting. HB 2457 would allow utilities to bypass the certificate of environmental compatibility process for new plants co-located with large electricity users after notice and a public comment session; the Sierra Club opposed it as reducing public review, while supporters said it preserved some local input and improved efficiency, and it passed 4-2 with one not voting. Finally, HB 2953 would cap certain nondisciplinary and civil penalties imposed by the Board of Pharmacy at $25,000 and allow lower penalties based on prior activity; a supporter said it matched limits used in other regulatory contexts, and the committee recommended it do pass unanimously.

Transcript Highlights:

• surgeries for minors. surgeries for minors.
• which is our statute on breast surgery which is our statute on breast surgery for<05:04:33.360><
• <05:05:03.840> to already [snorts] allows surgery to already [snorts] allows surgery to correct
• reasons why you could have the surgery. reasons why you could have the surgery.
• for lifecher this was. this surgery was for lifecher this was. this surgery was for her<05:10:33.760

Keywords: 1189, house, all

Summary: The committee first adopted amendment 2026-2021S to correct a drafting issue in the budget language so that the $2.5 million appropriation for Medicaid per diem rate stabilization at county nursing homes can be spent during the biennium rather than lapsing at the end of the fiscal year. Senator Lang explained that the funds are matched with federal dollars for a total of $5 million and are intended to prevent rate reductions that could shift costs to county property taxpayers. The amendment was adopted unanimously by both chambers, and the committee proceeded on the bill as amended by the Senate. The main discussion then focused on HB 155 and a proposed amendment to the business enterprise tax. The House proposal would lower the BET rate in stages when combined business tax revenues exceed certain thresholds, while the Senate opposed an immediate rate reduction and argued that tax changes should be handled in a budget year. Senators emphasized that raising the filing threshold to $375,000 had already removed about 3,500 small businesses from filing requirements, and they preferred further relief through threshold changes rather than rate cuts. House members argued that the trigger-based reduction was a reasonable, tested mechanism and would provide future tax relief without taking effect unless revenues rose enough. Members debated whether the trigger could be distorted by one-time revenue spikes, such as the recent tax amnesty receipts and prior federal repatriation-related revenue, and Representative Sweeney said he was willing to adjust the effective date or carve out amnesty revenue. The committee did not reach agreement on the BET reduction, and the chair called a break and then continued the meeting later with a new proposal to delay the trigger’s effective date to January 1, 2028. Senator Lang rejected that version but offered a counterproposal to raise the filing threshold to $400,000, and the parties ultimately agreed to continue discussions and reconvene later. The meeting also took up HB 1102, concerning the research and development tax credit and state park fees. The House position was to support the R&D tax credit but remove the park-fee provisions, citing testimony from the Department of Natural and Cultural Resources that it did not need the increase and concerns about discouraging tourism, especially at border parks. Supporters of the park-fee language argued that the department had not raised rates in years, could set its own rates, and should be able to charge nonresidents more while keeping New Hampshire residents’ fees lower. The discussion remained unresolved, with members debating the likely effect on tourism and fairness to residents versus the need for additional revenue.

Transcript Highlights:

• If it applies to hospitals, would it apply to every surgery room in that hospital?
• Every surgery room in that hospital, so it is, I know it’s $5,000, but are we—if they have 20 surgery
• I have worked more than 20 years in surgery.
• The suction that’s used in surgery right now is very finite.
• Within the hospital systems, within surgery, I remember when eye protection was not required.

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• What do you think that does to providers of surgeries?
• Some others might think that any other kind of elective surgery is bad.
• No proof that this is bad surgery for minors?
• And they are the premier organization that deals with this surgery.
• The Society of Plastic Surgeons did not call this bad surgery, and they did not say, do not do this surgery

Keywords: 1182, all

Summary: The Senate met in Committee of the Whole on several calendars, with opening prayer, pledge, attendance, guest introductions, and recognition of doctors of the day and student visitors. The chamber also approved the prior day’s journal and later adopted multiple Committee of the Whole reports assigning bills for further action. Several measures were retained on the calendar, including SB 1366, SB 1503, SB 1787, SB 1803, and SB 1628. On the first calendars, the Senate advanced SB 1232 on military compatibility permit zoning, SB 1493 on disciplinary action appeals for law enforcement officers, SB 1538 on civil traffic violations and warrant-related penalties, and SB 1618 on the military affairs commission, all with amendments. The chamber also advanced SB 1424 on firearm safety instruction in public schools, SB 1456 on state highways and routes, SB 1552 on a tax revision, SB 1554 on chiropractic claims, SB 1572 on civics instruction, SB 1633 on an income tax subtraction for a primary residence, SB 1684 on school liability for serious injury, and SCR 1004 on photo enforcement systems. SCR 1004 drew comments that the amended version would require photo radar to be put to voters in affected cities or towns in the 2028 election cycle. A substantial portion of the meeting focused on SB 1094, which would create civil liability for physicians performing irreversible gender-reassignment surgery on minors. Supporters argued it would protect minors and hold doctors accountable, while opponents said it would discriminate against transgender youth, increase malpractice costs, chill medical care, and reduce provider availability. The Senate also debated SB 1124 on psychiatric evaluations ordered by boards, SB 1496 on Department of Child Safety procedures and representative payees, and SB 1713 on AHCCCS procurement contracting, with concerns raised about access, delays, and agency discretion. SB 1813, dealing with the state hospital governing board and Maricopa County bed limits, prompted debate over litigation risk versus expanding capacity for people with serious mental illness. In later calendars, the Senate advanced SB 1246 on homeowners associations and foreclosure, SB 1271 on municipal authority and alarm-system reporting, SB 1338 on state and local public benefits eligibility, SB 1428 on county board membership, SB 1663 on freedom of speech and the Freedom of Speech Monument Committee, SB 1688 on membership association fees and disclosures, SB 1805 on county recorder/court claim deeds and notaries, SCR 1024 on legislative qualifications and residency requirements, and SB 1808 on homeowners associations and county flags. SB 1338 drew opposition from Sen. Kuby, who said it would remove refugees, DACA recipients, and asylum seekers from eligibility for state and local benefits. SCR 1024 was amended to require one year of party affiliation in addition to district residency, and the sponsor explained it was intended to align party and district requirements. Most measures were adopted from Committee of the Whole with do-pass recommendations, many as amended.

Transcript Highlights:

• ,<00:31:48.799> you'd want to have a sex change surgery, you'd want to have a sex change surgery
• So, the notion that someone can just fly to Hawaii and automatically get surgery is nonsense.
• If you undergo sex change surgery, you're no longer fertile.
• If you undergo sex<00:36:10.400> change<00:36:10.720> surgery,<00:36:11.359> you're<
• Um and it's an overwhelming surgery.

Bills: HB2139, HB1892, HB1893, HB1890, HB2335, HB2468, HB2091, HB2092, HB1878, HB2297, HB2127, HB1785, HB2345, HB2344, HB1780, HB1891, HB2398, HB1764, HB2564, HB1783, HB2567, HB1934, HB1778, HB1781, HB2621, HB2019, HB1803, HB2454, HB1811, HB1943, HB1589, HB1607, HB1851, HB2490, HB2546, HB2568, HB1972, HB2391, HB2575, HB1896, HB2399, HB2004, HB1894, HB2397, HB2498, HB2560, HB2310, HB2214, HB2167, HB2197, HB2116, HB1879, HB1596, HB2096, HB2298, HB2343, HB2566, HB1518, HB2044, HB2336, HB1603, HB1718, HB1740, HB1616, HB2171, HB2022, HB2347, HB1882, HB1708, HB2086, HB2154, HB2027, HB2179, HB1620, HB1913, HB2159, HB1597, HB2121, HB1864, HB2305, HB2576, HB1713, HB1729, HB1756, HB2122, HB2559, HB1743, HB1733, HB1868, HB1723, HB1711, HB1812, HB2515, HB1724, HB1604, HB2270, HB1722, HB1727, HB1920, HB1593

Keywords: invasive species, Queensland longhorn beetle, agriculture, environmental impact, University of Hawaii, Board of Education, Hawaii public schools, teacher representative, nonvoting member, bargaining unit 5, HSTA, teachers union, education governance, school board, executive session, collective bargaining, public school teacher, policy-making body, student representative, military representative

Transcript Highlights:

• JUST THINK ABOUT YOU HAVING SURGERY IN A HOSPITAL ROOM.
• THE TECHNICIANS THAT ARE IN THE SURGERY ROOM.
• JUST A HUMAN BEING HAVING SURGERY. A BABY WHO IS BEING BORN IN A SURGICAL ROOM.
• IF YOU ARE PERFORMING SURGERIES YOU ARE MAKING MONEY.
• BY SUPPORTING THIS SAFE SURGERY BILL I'M NOT LEAVING SAYING SURGICAL SMOKE BILL I'M SAYING SAFE SURGERY

Transcript Highlights:

• SURGICAL SMOKE IS PRODUCED IN 90 PERCENT OF SURGERIES WHEN HUMAN TISSUE COMES INTO CONTACT WITH SURGICAL
• THIS BILL IS NOT THE MOST EXCITING BILL YOU WILL SEE ALL SESSION, BUT SINCE 1938 SURGERY CENTERS WERE
• I AM AN OPERATIONS EXECUTIVE INSIDE SURGERY CENTERS AROUND FLORIDA REPRESENTATIVE OF THE SURGERY CENTERS
• THAT'S TRUE WITH AMBULATORY SURGERY CENTERS WE ARE REIMBURSED 50 PERCENT OF WHAT A HOSPITAL GETS REIMBURSED
• I CAN'T BUY MY SURGICAL SUPPLIES FOR LESS SO THE REASON FOR THE BILL IS TO GET SURGERY CENTERS PLACED

Keywords: 999, senate, all

Transcript Highlights:

• <00:28:49.279> Um,<00:28:50.159> so as a sex reassignment surgery.
• Um, so as a sex reassignment surgery.
• So that's changed to provision of surgery, and with that I think...
• did not prohibit breast surgeries did not prohibit breast surgeries subject<01:11:29.120> to<
• and with that I think yep that surgery and with that I think yep that that<01:12:59.920> I<01

Keywords: 1191, senate, all

Transcript Highlights:

• If it applies to hospitals, would it apply to every surgery room in that hospital?
• I have worked more than 20 years in surgery.
• The suction that's used in surgery right now is very finite.
• Within the hospital systems, within surgery, I remember when eye protection was not required.
• And that's something that, at least I know from my personal practice, and it isn't even in a surgery

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• You know the process I referred to; surgeries kids aren't getting surgery, so I'm sorry the kids. aren't
• getting surgeries anymore.
• Our youth wish that they could have surgery sooner, but they have to wait.
• You don't just go to the doctor and say, "Hey, I want to get the surgery."
• Rigor at rates: 10% of knee surgery patients express regret or dissatisfaction.

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• This April I will face my fourth surgery. I hope it will be my last.
• Your insurance doesn't say, oh, we won't cover your surgery because it's not medically necessary for
• They will cover that surgery. And just like they will cover your surgery so that you can run...
• That surgery.
• But my right leg, I have had like 30 surgeries, and they will continue to do surgery as needed to try

Summary: The Banking and Insurance Committee took up several bills, beginning with CS/SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and the oversight required. The bill was reported favorably without opposition. The committee then heard SB 1256 on pharmacy audits, which would require PBM audits of pharmacies to follow uniform standards and provide due process protections; pharmacists testified in support, describing current audits as burdensome and conflicted. That bill was also reported favorably. Members next considered CS/SB 598 on funeral, cemetery, and consumer services. An amendment was adopted removing provisions on civil damage caps and phasing out direct disposers, and the bill was then reported favorably. SB 632, dealing with transportation network company insurance, would set coverage requirements for the period after a ride is accepted but before pickup; an opponent argued the existing insurance framework should not be reduced, but the bill passed on a divided vote and was reported favorably. CS/SB 786 on trusts, creating a nonjudicial process to close uncontested trusts and discharge trustees, was supported by banking and legal groups and reported favorably. The committee then took up CS/SB 1110 on Medicaid, health insurance, and HMO coverage for orthotics and prosthetics. A delete-all amendment clarified eligible recipients, and the bill drew extensive emotional testimony from amputees, parents, and advocates describing the high cost of activity limbs and the benefits for children’s health and participation. Several senators praised the testimony and the policy, and the bill was reported favorably. Finally, SB 1588 on legal tender refined last session’s gold-and-silver law, and SPB 7044 created related public-records exemptions for custodians of gold and silver; both were reported favorably, with SPB 7044 adopted as a committee bill. The meeting ended with senators recording additional affirmative votes on selected bills and adjournment.

Transcript Highlights:

• This April I will face my fourth surgery. I hope it will be my last.
• Your insurance doesn't say, 'Oh, we won't cover your surgery because it's not medically necessary for
• They will cover that surgery.
• And just like they will cover your surgery so that you can run, That surgery.
• But my right leg, I have had like 30 surgeries, and they will continue to do surgery as needed to try

Bills: S0326, S0598, S0632, S0786, S1110, S1256, S1380, S1588, S7042, S7044

Keywords: curators, estates, court appointment, fiduciary duty, bond requirements, removal, surrogate, funeral homes, cemetery law, cremation, embalmer, funeral director, preneed contract, preneed funeral, human remains, unclaimed cremated remains, disposition of remains, hospice, palliative care, end-of-life care

Summary: The Banking and Insurance Committee met with a quorum present and temporarily postponed SB 7042 on legal tender and SB 1380 before taking up the remaining agenda. The committee first reported favorably C.S. for SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and what oversight applies. It then reported favorably SB 1256, which standardizes PBM pharmacy audits by requiring uniform audit standards, scope, frequency, penalties, and due process protections for pharmacies; testimony from pharmacists emphasized concerns about conflicts of interest, excessive audits, and disproportionate penalties, while preserving fraud investigations. The committee also reported favorably C.S. for SB 598 on funeral and cemetery services after adopting an amendment that removed provisions on civil damages caps and phasing out direct disposers; the bill updates licensure and contract rules and addresses unclaimed remains. SB 632, which sets insurance requirements for transportation network companies during the period after a ride is accepted but before pickup, was reported favorably despite opposition from an attorney who argued the existing coverage framework should not be reduced. C.S. for SB 786, creating a nonjudicial process to close out undisputed trusts and discharge trustees, was also reported favorably. The committee then took up SB 1110, a major bill expanding Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including activity limbs, and requiring annual reporting. After adopting an amendment clarifying eligible recipients, the committee heard extensive emotional testimony from amputees, parents, and advocates describing the medical, developmental, and financial importance of prosthetic coverage, and members spoke in strong support before the bill was reported favorably. Later, the committee considered SB 1588, which implements last session’s legal tender law by refining definitions, narrowing custodian provisions, eliminating unnecessary examination requirements, and repealing the sunset clause; members raised questions about verification and anti-money-laundering concerns, but the bill was reported favorably. Finally, the committee approved SPB 7044 as a committee bill to expand public records exemptions to records relating to newly regulated custodians of gold and silver. The meeting concluded with senators recording additional affirmative votes on selected bills and adjourning.

Transcript Highlights:

• Glass, we spoke, he approved the surgery.
• The surgery was then done eight months after I first submitted it.
• A lot of meniscal tears do not require surgery. This one did.
• She gets surgery about a gets the orthogram shows a complex laboral tear.
• A lot of menisical tears did not require surgery. This one did.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• They do a cost report each year and they get another incentive based on the surgery and surgery type.
• I’ve worked in the ambulatory surgery center sector for about 30 years.
• I mean, ambulatory surgery centers save Medicare about 30 to 50 percent for outpatient procedures.
• That’s all expenses that you don’t have if you would go to an ambulatory surgery center.
• You go to the ambulatory surgery center, you have three charges.

Summary: The Finance Committee met on May 27, 2026, with six members present and took up a series of House bills, most of them dealing with education funding, criminal justice staffing, transportation, health care access, and economic development. HB 325 was reported favorably after testimony that it would expand TOPS eligibility by allowing dual-enrollment credits to satisfy eligibility criteria and by making part-time students eligible for TOPS Tech, with supporters saying the program has been underused and the change would help working students. HB 719 was amended and reported favorably to increase assistant district attorney positions in various judicial districts; the Louisiana District Attorneys Association said the changes were based on workload data and local input, and members discussed the need to coordinate any expansion with public defender funding. The committee also reported HB 749 favorably, which would move Louisiana’s 529 savings accounts to a more secure online platform after a cyber incident, and HB 1028 favorably, which concerns transportation reimbursement for providers and was described as already subject to appropriation. Several bills focused on food access and local economic development. HB 1222, the Grocery Initiative Act, was reported favorably to let LED use existing grant resources to map food deserts and develop a program, with members noting it could return for funding later if needed. HB 1194 was amended and reported favorably to define food deserts and direct the LSU AgCenter and the Department of Agriculture and Forestry to identify and map them, with authors emphasizing it was a study and not a government-run grocery program. HB 755, which would create IDIQ contracting for architects and engineers on smaller state projects, was reported favorably with no fiscal impact. HB 823, a local diversion pilot for Orleans Parish, was also reported favorably after the fiscal note was revised to remove state impact and reflect only local costs. The committee spent substantial time on HB 488, a proposal from Plaquemines Parish to use severance-tax revenue to help buy out a private toll concession on the parish’s bridge. The author and local officials described severe toll burdens, economic harm to local businesses, and what they called an unfair contract, but members noted the bill was not funded and ultimately deferred it without a motion. HB 797, the Bayou Gold/Louisiana Sound Money Act, was amended to make implementation subject to appropriation and then reported favorably. The committee also took up HB 198, which would raise Medicaid reimbursement for ambulatory surgery centers for certain outpatient procedures; after extensive discussion about fiscal notes, access to care, and potential long-term savings, the bill was amended to narrow its scope and make implementation subject to appropriation, then reported favorably as amended. The meeting ended with the chair noting it would be the committee’s last meeting and asking members to spread the word.