Transcript Highlights:

• The program says that the program served 150,000 unduplicated clients.
• apply for more than one waiver or program?
• programs.
• When we start, we change the program from an outpatient program to an inpatient program.
• There�s 20�you know, training one program, 20 programs, stay housed.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• So yes, ma'am, it would represent graduate programs, professional programs and all undergraduate programs
• And then lastly, just the graduate program portfolio.
• The been a Quest scholarship program cost the university around $354,000 and the homeless waiver costs
• is always a waiting list for those programs.
• What is the market rate for a comparable program?

Keywords: 999, senate, all

Transcript Highlights:

• And I appreciate this program. Thank you, Mr. Chair.
• To put all the programs there. How do you fit into that picture?
• So in reference to programs, yes, we would love to do programs there.
• We don't run the wait list or the DD waiver.
• in nursing homes and those who are not on the DD waiver.

Transcript Highlights:

• That would be reflected in the college program, community program, and careers.
• They have two different waiver programs and the rehab services.
• Also, with the waiver program...
• I think a few people on this committee are probably very familiar with CDCS waiver programs, but for
• <01:10:44.920> began the program so this this program began the program so this this program

Keywords: 1183, house

Transcript Highlights:

• been involved in your program? been involved in your program?
• national health program. national health program.
• got the community-based waiver program off the ground.
• <01:57:07.679> program<01:57:08.320> off<01:57:08.560> the community-based waiver
• program off the community-based waiver program off the ground. ground. ground.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• As the director, my obligation to this program and to all the programs that we run is to make sure that
• It's a federal program.
• Chair, on the supplemental budget request that we're reviewing for the Advantage Waiver Program.
• And I know you as increased their program and other programs around the state are producing more graduates
• programs that we can qualify for.

Keywords: 914, all

Transcript Highlights:

• Um, I am respectfully requesting a waiver.
• I am asking for a full waiver. I was not.
• Staff recommends no waiver or reduction.
• We just did the waiver and we just changed the waiver rules.
• So the fine was not eligible for waiver or reduction.

Transcript Highlights:

• So yes, ma'am, it would represent graduate programs, professional programs, and all undergraduate programs
• And then lastly, just the graduate program portfolio: so Ph.D.s and other professional master's programs
• The Benacquisto Scholarship Program cost the university around $354,000, and the homeless waiver costs
• programs.
• What is the market rate for a comparable program?

Summary: The Appropriations Committee on Higher Education met to examine how Florida’s state universities are funded and to begin discussing a possible university funding model. The panel included the State University System chancellor and CFOs from FSU, UF, FAMU, FAU, UNF, and UCF. Members first reviewed major cost drivers, which the universities said are broadly similar across institutions: wages and benefits, equipment and supplies, financial aid, professional services, utilities, IT, and maintenance. Several institutions noted unique pressures from geography, growth, research intensity, and mission, such as UCF’s size and engineering focus, UF’s land-grant and research enterprise, FAMU’s need to recruit top talent while serving a high-Pell student population, and FSU’s large facilities and research obligations. The chancellor also summarized systemwide cost growth since 2012-13, including higher health insurance, retirement, and salary costs, while noting tuition had been held flat. The committee then discussed other revenue sources, including auxiliaries, restricted funds, capital projects, and component units such as foundations and health systems. University leaders explained that many of these funds are restricted to specific purposes, and some, like UF Health, account for a large share of operating expenses. Members also discussed the current performance-based funding process. University representatives generally praised it for transparency, accountability, and its focus on student success, but said the heavy use of one-time funds, nonrecurring appropriations, and unfunded mandates makes long-term planning difficult. FSU and others argued that rising employee costs, waivers, and facilities expenses are not fully covered, while FAMU said performance funding has improved outcomes but can disadvantage institutions serving more low-income students. In response to questions about improvements, the universities suggested more recurring and predictable funding, better coverage of mandated costs, more flexibility in fees, and continued investment in research and strategic priorities. The chancellor said the Board of Governors is considering a version 3.0 of performance funding that would benchmark institutions against peers and Carnegie classifications. The committee also explored whether universities should have more flexibility to set out-of-state tuition and professional school tuition. Most university leaders favored giving boards of trustees more authority, while the chancellor cautioned that increasing out-of-state enrollment or tuition too much could affect legislative support. No votes were taken; the meeting ended with the chair thanking the panel and adjourning the committee.

Transcript Highlights:

• parents didn't know that they could request a waiver, those students still have to take the test.
• parents didn't know that they could request a waiver, those students still have to take the test.
• parents didn't know that they could request a waiver, those students still have to take the test.
• parents didn't know that they could request a waiver, those students still have to take the test.
• parents didn't know that they could request a waiver, those students still have to take the test.

Keywords: 1187, senate, all

Transcript Highlights:

• wage without exhausting our waiver wage without exhausting our waiver budget. budget. budget.
• medical assistance, and then the waiver medical assistance, and then the waiver can<00:10:43.720
• programs.
• related to the waiver. related to the waiver.
• in addition to waiver.

Bills: HF3794, HF4472, HF4410, HF4347, HF4412, HF4398, HF4397, HF4201, HF4199, HF4203, HF3706, HF4071, HF4120, HF4175, HF4188

Keywords: surveillance, price discrimination, wage discrimination, automated decision systems, consumer protections, data privacy, biometrics, school district health insurance, charter school health benefits, employee benefits, public sector health insurance, health insurance survey, Legislative Budget Office, LBO report, premium costs, retiree coverage, broker commissions, third-party administrator, health plan transparency, health reimbursement arrangement

Transcript Highlights:

• We deal with the Texas Ethics Commission's training programs.
• . waiver.
• I am asking for a full waiver.
• Staff recommends no waiver or reduction.
• Joe, we just did the waiver and we just changed the waiver rules.

Transcript Highlights:

• cannabis program and licensing regime. cannabis program and licensing regime.
• was pro and the waiver the waiver was pro and the waiver process<01:02:19.599> was<01:02:19.920
• these programs. these programs.
• Minnesota sex offender program, St. Minnesota sex offender program, St.
• were some of the waiver programs that we were some of the waiver programs that we were addressing

Keywords: 1183, house

Transcript Highlights:

• programs following implementation of the CERT program.
• And it would be part of this new CERT program that, if a district chose ...of this new CERT program that
• that particular program.
• to remain in one program.
• to remain in one program.

Summary: The Careers and Workforce Subcommittee met with a quorum and took up four bills. The first, HB 875 on educator preparation, would align teacher-prep programs under a uniform core curriculum, create a competency-based coaching program (CERT), standardize mentor and clinical educator requirements, allow certain certification waivers, and establish a Florida Institute of Teaching Excellence at Miami-Dade College subject to appropriation. Debate focused heavily on language in the bill related to systemic racism, identity politics, privilege, and historical distortion, with supporters saying the bill is about pedagogy and opponents warning it could limit discussion of important historical and social topics. The committee adopted a strike-all amendment and then reported the bill favorably, 12-4. The committee then considered PCS for HB 541 on minimum wage requirements, which would allow employees to knowingly and voluntarily waive the state minimum wage for up to 12 months in certain structured work-based training settings. Supporters argued it would expand access to training and career pathways for inexperienced workers and help address labor shortages, while opponents said it could depress wages, invite coercion, and conflict with the state constitution’s minimum wage provisions. Public testimony included opposition from workers and labor groups and support from NFIB. The bill was reported favorably, 12-4. Next, PCS for HB 681 on apprenticeship and pre-apprenticeship program funding was presented as a transparency and accountability measure to improve funding reporting and address bargaining issues between education agencies and program providers. Support came from industry groups and the ranking member, and the bill was reported favorably without opposition, 16-0. Finally, PCS for HB 1105 on education and Bright Futures would broaden Gold Seal Vocational eligibility, align CTE diploma requirements with Bright Futures, add AP Capstone as an automatic qualifier, and remove barriers for certain military and public service families. The committee supported the bill, which was reported favorably, 15-0. The meeting ended after a correction to the record on one public comment card and adjournment.

Transcript Highlights:

• waiver services from a private company. waiver services from a private company.
• But as far as the pilot program, I'm just not envisioning what a pilot program would be.
• visioning what a pilot program would be. visioning what a pilot program would be.
• It sounds like if we’re having ongoing conversations about that pilot program, that a waiver might be
• <00:59:11.359> Yes, program. I highip that we call it. Yes, program.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• At age three, they're out of that program.
• This will be specific programs, summer programs geared to students with autism, and it provides for a
• The program has a waiting list and we would love to be able to expand this programming and offer it to
• This is a federal program as well. Excuse me.
• This is a federal program as well. Excuse me.

Summary: The Senate Education Pre-K-12 Committee heard and passed two autism-related bills. SB 112, by Senator Harrell, would expand autism screening and referral grants, extend Early Steps services from age three to age four, designate the University of Florida autism center as a statewide hub, create grants for autism-focused charter schools and summer programs, and establish an autism microcredential for educators and paraprofessionals. Three technical or clarifying amendments were adopted, and the bill received support from Autism Speaks, The Arc of Florida, Foundation for Florida’s Future, and Miami-Dade County Commissioner Raquel Regalado, who emphasized early intervention and the need for training and expanded services. The bill was reported favorably by committee vote. The committee then considered SB 102, by Senator Gaetz, which would direct the Department of Education to create a workforce credential for students with autism spectrum disorder, including badges for job skills and workplace safety, and require reporting on outcomes such as employment after graduation. An amendment was adopted to allow students on a modified curriculum before formal diagnosis to participate and to require coordination with the Florida Center for Students with Unique Abilities and OSHA. Testimony from Amy Weatherby of the FSU Autism Institute and CARD strongly supported the bill, stressing the importance of employment outcomes and early preparation, while other organizations also supported it. SB 102 was reported favorably, and the committee adjourned after Senator Harrell was recorded as voting in the affirmative on SB 112.

Transcript Highlights:

• Third, the executive supports higher utilization in the developmental disability supports waiver program
• program.
• program.
• program.
• It provides full support for the higher utilization we anticipate in the DD waiver program and higher

Keywords: 996, all

Transcript Highlights:

• <01:19:13.280> program ensuring that the elderly waiver program ensuring that the elderly
• waiver program receives<01:19:14.080> an<01:19:14.440> appropriate<01:19:15.440> annual
• , into us throughout our entire program, into us throughout our entire program, from<01:44:00.880
• degree nursing program. degree nursing program.
• . operated program.

Keywords: 1187, senate, all

Transcript Highlights:

• This is a waiver request where they're asking for like a 100 waiver when in fact they do have some capacity
• This is a waiver request where they're asking for like a 100 waiver when in fact they do have some capacity
• Waiver that you're requesting. Thank you for that.
• Waiver that you're requesting. Thank you for that.
• We have all that information in our SIMS program.

Transcript Highlights:

• Because when you apply for a federal waiver under the program, my understanding was that you had to have
• When you talked about getting a waiver under the federal program, we would still be getting our 60 percent
• year through a program called the Rural Communities Investment Program.
• That is a repayment program, a loan repayment program.
• Security Protection Program.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• <00:49:07.040> program<00:49:07.440> currently<00:49:07.839> uses elderly waiver
• program currently uses elderly waiver program currently uses data<00:49:08.720> from<00:49:08.960
• homes the 2023 um elderly waiver homes the 2023 um elderly waiver investment<01:02:38.480> um
• important rate update to elderly waiver important rate update to elderly waiver uh<01:04:02.760>
• <01:04:20.079> rates update to the elderly waiver rates update to the elderly waiver rates

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house