Transcript Highlights:

• <00:06:36.440> she she received from the prescription she she received from the prescription
• And so I just think we're getting just a little bit too prescriptive.
• And so I just think we're getting just a little bit too prescriptive.
• <00:53:54.160> we've little bit too prescriptive we've little bit too prescriptive we've identified
• <00:56:19.839> are and hopefully the chief author are and hopefully the chief author are meable

Keywords: 1187, senate, all

Transcript Highlights:

• The amendment also increases the timeframe for which vet telehealth prescriptions may be issued for flea
• The amendment also increases the timeframe for which vet telehealth prescriptions may be issued for flea
• Like on line 79 of the amendment that says prescriptions based solely on telehealth evaluation may be
• then, you would agree, though, that the language still says they have to be under the responsible authority
• And again, literally, physically under the roof, and we can further define responsible authorization

Bills: S0754, S0796

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it heard SB 754 on heated tobacco products. The bill would statutorily define heated tobacco products and exempt them from the cigarette tax. Senator Davis questioned why the exemption was needed, and Senator Bernard asked about youth access; the sponsor said the bill was limited to taxation and would look into age and regulatory issues. A Florida Retail Federation representative appeared in support. The committee voted the bill favorably, and Senator Bracey Davis later asked to be recorded as voting in the affirmative on tab 1. The committee then considered SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role for individuals with a master’s degree in veterinary clinical care to perform delegated tasks under a licensed veterinarian’s responsible supervision. It also would extend the time period for telehealth prescriptions for flea and tick products from one month to six months and for other medications from 14 days to 30 days. Senator Boyd raised liability concerns, and the sponsor said existing statute already places liability on the supervising veterinarian. The Florida Veterinary Medical Association testified against the bill, arguing Florida should expand and better utilize existing veterinary technicians rather than create a new mid-level role, and warning about federal prescribing restrictions and animal safety. Supporters, including the Animal Legal Defense Fund and Dr. Wayne Jensen, argued the bill would expand access to care, reduce costs, and provide a well-trained supervised workforce. Several senators said the bill balanced access and safety, and the committee reported SB 796 favorably. The meeting then adjourned.

Transcript Highlights:

• The question is if it's only from a dispensary, you have a prescription for it.
• So it's a prescription medication. It's just like my other medications.
• But my issue is, so if I leave my prescription bag on the front seat of my car.
• I guarantee you everyone in this room, we go pick up our prescriptions.
• All they have to do is prove a prescription. They're not going to have an issue.

Transcript Highlights:

• is an act to amend Title 42 relative to comprehensive weight management services, to provide for authority
• Are we giving taxing authority to this district?
• No, this is related to collecting taxes, not giving any taxing authority.
• Thank you. ...certain insurer contractual payments to provide for prescriptive periods.
• written notice to the claimant, and the payment does not interrupt, suspend, or otherwise extend the prescription

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• is an act to amend Title 42 relative to comprehensive weight management services, to provide for authority
• It's an act to amend Title 42 relative to comprehensive weight management services to provide for authority
• Are we giving taxing authority to this district?
• No, this is related to collecting taxes, not giving any taxing authority.
• written notice to the claimant, and the payment does not interrupt, suspend, or otherwise extend the prescription

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.

Transcript Highlights:

• No prescription. No, no doctor visit. That's right. No medical supervision. No oversight.
• Just to ask a few questions. the author. Do you? Certainly. Oh, the sponsor, sorry.
• Question for the author. Do you yield? Yes.
• Ask the author a couple of questions. Do you yield? Yes.
• be prescriptive.

Bills: SB 2, SB 5, SB 10, SB 9, SB 7, SB 17, SB 4, HB17, HB7, HB7, HB15, HB15, HB27, HB1, HB7, HB15, HB18, SB9, SB7, SB17, SB4, HB17, HB27, HB1, SB8, HCR13, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• The prescription is individual to an individual in hospice care, or the practitioner determines that
• it's in the best interest of the patient to compare prescription drug prices.
• This would authorize the Executive Director of the Florida Department of Veterans' Affairs to allow a
• Senators, this bill authorizes specific health care practitioners.
• Senators, this bill authorizes specific health care practitioners.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• If the individual is deceased, it says the authority, which means the healthcare authority because that's
• Then who is the authority recouping those funds from?
• author.
• Do pass by the author, seconded by Senator Hicks. Will there be questions of the author?
• With our move to pass, passed by the author, seconded by the chair, will there be questions of the author

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Transcript Highlights:

• And we submit to your authority this day.
• Senate Bill 348 by Senator Edmonds is an act in Title 33 relative to law enforcement to authorize local
• Senate Budgeum opens machine open for co-authors. Co-authors, members. What's going on?
• Does the author request give notice? Sure, he does. Senator Carter gives notice.
• This is a local bill supported by the council, law enforcement community, and planning authorities.

Bills: SCR12, HB1259, HB221, HB509, HCR117, HCR58, SCR29, SCR33, SB295, SB312, SB326, SB348, SB485, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HCR5, HCR95, HB75, HB198, HB244, HB302, HB325, HB623, HB719, HB749, HB755, HB761, HB797, HB823, HB1028, HB1049, HB1194, HB1199, HB1201, HB1222, HB17, HB27, HB36, HB41, HB73, HB140, HB166, HB181, HB211, HB223, HB226, HB271, HB308, HB337, HB399, HB410, HB487, HB690, HB712, HB730, HB750, HB759, HB762, HB775, HB906, HB966, HB968, HB1006, HB1009, HB1018, HB1036, HB1062, HB1081, HB1086, HB1098, HB1107, HB1112, HB1203, HB1215, HB1220, HB1242, HB1252, HB1256, SB208, SB217, SB274, SB283, SB300, SB341, SB382, SB387, SB389, SB401, SB408, SB449, SB469, HB74, HB119, HB134, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1117, HB1236, SB29, SB42, SB43, SB78, SB149, SB441, HB210, HB258, HB359, HB468, HB784

Keywords: logging, recognition, John Keith, environment, safety, HB1259, mask penalty, masked felony, face covering, conceal identity, evade identification, sentencing enhancement, enhanced penalty, felony sentencing, crime deterrence, public safety, Louisiana criminal law, R.S. 14:313.2, R.S. 14:313, R.S. 14:329.7

Transcript Highlights:

• And we submit to your authority this day.
• Senate Bill 348 by Senator Edmonds is an act in Title 33 relative to law enforcement, to authorize local
• Senator Boudreaux opens the machine for co-authors. Co-authors, members. What's going on?
• Representative Carver's bill that would allow a program manager for the Louisiana Tuition Trust Authority
• This is a local bill supported by the council, law enforcement community, and planning authorities.

Bills: SCR12, HB1259, HB221, HB509, HCR117, HCR58, SCR29, SCR33, SB295, SB312, SB326, SB348, SB485, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HCR5, HCR95, HB75, HB198, HB244, HB302, HB325, HB623, HB719, HB749, HB755, HB761, HB797, HB823, HB1028, HB1049, HB1194, HB1199, HB1201, HB1222, HB17, HB27, HB36, HB41, HB73, HB140, HB166, HB181, HB211, HB223, HB226, HB271, HB308, HB337, HB399, HB410, HB487, HB690, HB712, HB730, HB750, HB759, HB762, HB775, HB906, HB966, HB968, HB1006, HB1009, HB1018, HB1036, HB1062, HB1081, HB1086, HB1098, HB1107, HB1112, HB1203, HB1215, HB1220, HB1242, HB1252, HB1256, SB208, SB217, SB274, SB283, SB300, SB341, SB382, SB387, SB389, SB401, SB408, SB449, SB469, HB74, HB119, HB134, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1117, HB1236, SB29, SB42, SB43, SB78, SB149, SB441, HB210, HB258, HB359, HB468, HB784

Keywords: logging, recognition, John Keith, environment, safety, HB1259, mask penalty, masked felony, face covering, conceal identity, evade identification, sentencing enhancement, enhanced penalty, felony sentencing, crime deterrence, public safety, Louisiana criminal law, R.S. 14:313.2, R.S. 14:313, R.S. 14:329.7

Summary: The Senate convened with 26 members present, heard a prayer from Dr. Steve Horn, and recited the pledge. The chamber then handled messages from the House, including concurrence in SCR 83 and appointment of conference committee members on several disagreements. A number of Senate resolutions were introduced or adopted, mostly creating study task forces or commending individuals and organizations, including resolutions on energy infrastructure, breast pump access, insurance coverage for auto repairs, biomarker testing, higher education funding, public-private partnership contracting, and various commendations. Several resolutions were adopted without objection, while others were returned to the calendar or concurred in by recorded vote, including SCR 29 and SCR 33 with House amendments. The Senate also considered House and Senate bills and resolutions returned from the House, with many measures adopted or concurred in. Notable actions included concurrence in HCR 117 on homeowner insurance claims processes, adoption of HCR 5 on special red drum harvest permits, and passage of bills on TOPS Tech eligibility (HB 325), vapor product permitting (HB 623), ABLE/Tuition Trust administration (HB 749), design services contracting (HB 755), rare cancer advisory board composition (HB 761), non-emergency medical transportation reimbursement (HB 1028), public meeting notices (HB 1049), healthy food retail financing (HB 1194), genetic testing coverage for SCN2A disorders (HB 1199), grocery initiative grants (HB 1222, which failed), and a constitutional amendment on retirement debt repayment order (HB 27). The chamber also adopted HCR 95, creating a joint rule requiring a fiscal review of certain tax measures for sales and use tax uniformity. Several measures drew extended debate. HB 181, which would allow the legislative auditor access to Medicaid and SNAP-related tax information for eligibility verification and fraud review, prompted concerns about privacy and scope but ultimately passed 26-8. HB 1220 on the State Board of Medical Examiners generated amendment discussion about board composition and transparency, including live video broadcasting of meetings, but was returned to the calendar before final action. HB 1018, creating a temporary local moratorium on certain alcohol permits in one Shreveport district, passed after discussion about broader policy solutions. The Senate then recessed for lunch at 2 p.m. after completing the subject-to-call list for the morning session.

Transcript Highlights:

• And finally, allowing any licensed physician to authorize hearing devices for minors, not just hearing
• And finally, allowing any licensed physician to authorize hearing devices for minors, not just hearing
• But I I think in the bill, it doesn't it require a, a prescription, or maybe it doesn't.
• a prescription, They are saying it's medically necessary.
• Can you write me a prescription? And I mean I could do that.

Transcript Highlights:

• This bill, the House author is Representative Lacey.
• Members, any other questions of the author of the bill? Thank you very much.
• I’m here today to offer insight regarding warning labels on opioid prescriptions.
• This bill establishes the prescription drug purchasing pool.
• Any question for the bill's author? Thank you. All right. Any question for the bill's author?

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• Finally, allowing any licensed physician to authorize hearing aids.
• It also authorizes counties to create crisis service models offering mental health care, detoxification
• I think in the bill, doesn't it require a prescription? Or maybe it doesn't. I think it requires...
• There's a prescription, which I think, based on my understanding of doctors, if they write a prescription
• Can you write me a prescription?" I mean, I could do that. I mean, I've just seen that as of late.

Keywords: 1184, house, all

Transcript Highlights:

• Of course, they have zoning authority, but they also have authority over trash contracts, property taxes
• And we're granted that authority. to put it bluntly.
• The Commission has no authority over patients or doctors.
• I've heard some people talk about prescriptions.
• These doctors—the Commission does not have authority over doctors.

Bills: LB815A, LB838A, LB912A, LB972A, LB1126A, LB962A, LB1114, LB921, LB937, LB803, LB803A, LB1032, LB1032A, LB1075, LB1075A, LB889, LB878, LB933, LB304, LB304A, LB1096, LB1096A, LB1165, LB1165A, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787

Keywords: LB815A, LB815, appropriation, appropriations bill, Nebraska Department of Revenue, Motor Fuel Tax Enforcement and Collection Cash Fund, motor fuel tax, gas tax, fuel tax, tax enforcement, tax collection, cash fund, budget, state spending, per diem, salaries, fiscal year, enrollment and review, final reading, Nebraska

Transcript Highlights:

• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• Having an unprecedented trend of over 20% on the prescription renewal, I've never seen a prescription
• we're going out to the legal authorities we're going out to the legal authorities in<02:29:59.960

Keywords: 1191, senate, all

Transcript Highlights:

• <00:15:09.519> for<00:15:09.839> two temporary authorization for two temporary authorization
• <01:21:25.520> to get the patient's authorization to get the patient's authorization to release
• It's just they're adding these fees that are not authorized.
• It's just they're adding these fees that are not authorized.
• And in fees that are not authorized.

Keywords: 1189, house, all

Transcript Highlights:

• Senate Bill 1153 by Hughes, relating to the authority of the Texas Department of Motor Vehicles to take
• Senate Bill 1174 by Alvarado, relating to the administration of non-prescription medications to certain
• Senate Bill 1180 by Alvarado, relating to the authority of certain municipalities to use certain tax
• Senate Bill 1184 by Creighton, relating to the age of wine authorized to be sold by a wine collection
• Senate Bill 1282 by Parker, relating to the authority authorizing adoption assistance agreements for

Summary: The Senate met briefly to receive first-reading referrals of a large number of bills, resolutions, and joint resolutions. The measures covered a wide range of topics, including public education, health care, criminal justice, business regulation, transportation, water and natural resources, local government, taxation, elections, and public information. Many of the filings were by Senators Hughes, Perry, Alvarado, Creighton, Hancock, Parker, Zaffirini, Blanco, and others, and included proposals on school safety, health records and billing, election procedures, water planning, housing and rent issues, energy and environmental regulation, and criminal penalties. The chamber also read several concurrent and joint resolutions, including measures designating state symbols and local honors, a proposed constitutional amendment related to gaming by the Kickapoo Traditional Tribe of Texas, a proposal concerning special-session subjects, and resolutions on fiscal restraints and retirement obligations. No debate, testimony, or substantive action on the merits of the measures occurred in this portion of the transcript; the items were simply read and referred to committees. At the close of the proceedings, the Senate adjourned pursuant to a previously adopted motion and announced it would reconvene at 11 a.m. Tuesday, March 4.

Transcript Highlights:

• SB 1110 authorizes Medicaid to cover specified orthotics or prosthetics services and directs the Agency
• authority for legend drugs or prescription drugs, except as expressly provided for certain natural non-pharmacologic
• But expressly excludes prescriptive authority for legend drugs or prescription drugs, except as expressly
• Today, I take only two prescription medications.
• SB 688 gives naturopathic doctors the authority Bill actually does.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• This measure authorizes state facilities to wheel electricity that is produced by their own facility
• The next measure is SB 49, relating to prior authorization of health care services.
• measure authorizes a registered measure authorizes a registered pharmacist<00:06:58.479> under
• <00:07:09.319> in<00:07:09.520> certain a prescription in certain a prescription in
• <00:08:02.440> of 49 relating to prior authorization of 49 relating to prior authorization

Keywords: 912, senate, all

Summary: The Hawaii State Senate Committee on Commerce and Consumer Protection met in decision-making session and took up a series of previously heard bills. SB 21 on water carriers was passed with amendments to make the inflationary cost-indexed adjustment mechanism permissive rather than required, along with technical changes and a non-defective effective date. SB 133 on energy was passed with amendments adopting PUC recommendations and changing the effective date to July 1, 2050. SB 391 on recycling, creating an end-of-life lithium-ion battery management working group, was passed unamended. SB 532 on DOE medication administration in public schools was passed with amendments incorporating Hawaii State Center for Nursing proposals and a defective effective date. SB 230 on wild game meat donations was passed with technical amendments and a July 1, 2050 defective date. SB 1279 on pharmacists and telehealth supervision under the 340B program was also passed with a defective effective date of July 1, 2050. SB 1494 on optional hearing aid coverage was passed with technical amendments and a defective effective date of July 1, 2050. The committee deferred action on SB 588, which would allow self-certification for certain behind-the-meter solar systems and exempt them from FEA no-rise/no-impact declarations, citing the testimony submitted. It also deferred SB 281 on telehealth conformity with federal Medicare rules and SB 49 on prior authorization data reporting, both until Tuesday, February 25, 2025, at 9:30 a.m. in Conference Room 229. SB 838 on health insurance coverage for continuous glucose monitors was passed with amendments adopting technical changes and Department of Human Services proposals, plus a defective effective date of July 1, 2050; one member noted support but urged future consideration of including Medicaid managed care. All measures acted on were adopted without objections or reservations, with Senator Richards excused from voting on the measures discussed.

Transcript Highlights:

• We start by pouring money into prescriptions.
• It would be a critical safeguard against our overreliance on prescription opioids.
• It would be a critical safeguard against our overreliance on prescription opioids.
• <01:04:47.760> The<01:04:48.000> General authorized to perform.
• The General authorized to perform.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.