Transcript Highlights:

• History 4557 by NCEA relating to the regulation of art therapy, including the establishment of the Texas
• Art Therapy Board and the due.
• History 4563 by Flores relating to allowing a therapy or facility dog to accompany a child or person

Transcript Highlights:

• HB 4557 by NCHIA relating to the regulation of art therapy including the establishment of the Texas Art
• Therapy Board and the duties of the Texas Behavioral Health Executive Council Requiring an occupational
• consent for the Committee on Trade, Workforce and Economic Development, HB 4563 by Florida. allowing a therapy

Bills: HB9, HB22, HB908, HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• over 14,000 graduates in cosmetology-related occupations, and more than 1,600 graduates in massage therapy-related
• over 14,000 graduates in cosmetology-related occupations, and more than 1,600 graduates in massage therapy
• related. occupations and more than 1,600 graduates in massage therapy-related occupations.

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• They got occupational therapy. They got speech therapy.
• They got occupational therapy.<02:17:25.120> They<02:17:25.280> got<02:17:25.519> speech
• <02:17:25.840> therapy.
• therapy. They got speech therapy. therapy. They got speech therapy.

Keywords: 1189, house, all

Transcript Highlights:

• We're paying 27 cents an hour more for therapy from a master's level therapist than we paid 20 years
• We're paying 27 cents an hour more for therapy from a master's level therapist than we paid 20 years
• We're paying 27 cents an hour more for therapy from a master's level therapist than we paid 20 years
• We're paying 27 cents an hour more for therapy from a master's level therapist than we paid 20 years
• We're paying 27 cents an hour more for therapy from a master's level therapist than we paid 20 years

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• <00:24:37.120> That's<00:24:37.440> in a massage therapy license.
• That's in a massage therapy license.
• Um then in the rule therapy license.
• in a chiropractor's office therapy in a chiropractor's office you're<00:25:28.000> doing<00:25
• <00:26:54.960> license<00:26:55.520> issued and a massage therapy license issued and

Keywords: 1189, house, all

Transcript Highlights:

• And then tier one, of course, is speech therapy as their only instructional service, and residential
• Parents are often forced to choose between school attendance and medically necessary therapies.
• The struggle to balance work schedules, therapy appointments, and educational services while navigating
• , or having to choose between school and therapy, or being forced to stay in a school.
• They're just choosing to pull their kids from school and keep them home getting therapy full time.

Keywords: 1184, house, all

Transcript Highlights:

• I have undergone three reconstruction surgeries and over a year of physical therapy just to return to
• We have spent countless hours in physical therapy trying to move forward and adjust to a new normal.
• What followed were 8 months of intense physical therapy, psychological counseling, uh, before I was able
• <00:35:47.480> surgeries, requiring additional surgeries, requiring additional surgeries, therapies
• , and ongoing treatment, which therapies, and ongoing treatment, which I<00:35:50.880> continue

Keywords: 918, senate, all

Summary: The Legislative Commission on Pensions and Retirement met on April 14, 2026, adopted the April 7 minutes, and then took up Senate File 4464, which the chair said would be laid over after hearing testimony. The bill would restore continued health insurance coverage for police officers and firefighters in the PERA Police and Fire Fund who suffer documented physical duty-related injuries, addressing the current 5-year cap and the loss of coverage at normal retirement eligibility. Senator Hal Hoffman and Senator Hoffman’s testimony emphasized that the bill is a narrow fix for injured public safety workers and not a broader restructuring of retirement benefits. Supporters, including Mike Ladue of Law Enforcement Labor Services, several injured officers, Sheriff Ryan Kruger, and Amber Waldner, described the personal and family impacts of severe line-of-duty injuries and argued that coverage should continue to age 65 so families are not left with uncertainty if injuries worsen or force medical retirement. They said the bill would honor the promise made to public safety workers and provide stability for long-term care needs. One witness, Officer Albert, said the 2025 changes significantly reduced the protection he believed he and his family would have if his injury forced retirement. Anne Finn of the League of Minnesota Cities opposed the bill as drafted, warning that restoring coverage to age 65 for all physical injuries would be fiscally unsustainable without additional state funding. She said the 2025 pension changes were part of a negotiated package, noted that duty disability retirements are common, and argued the employer cost could reach about $500,000 per employee and create significant property tax pressure, especially for smaller communities. She urged the committee to work on a broader solution and said revisiting only one part of the 2025 law would create imbalance.

Transcript Highlights:

• all<00:11:57.720> right<00:11:58.519> actually<00:11:58.800> Medical therapy
• seven all right actually Medical therapy seven all right actually Medical technicians<00:11:59.760><
• be done by somebody who has their license: independent clinical social work, marriage and family therapy
• <03:09:53.000> license<03:09:54.000> okay marriage and family therapy license okay
• marriage and family therapy license okay thank<03:09:54.439> you<03:09:54.640> that<03:

Keywords: 928, house, all

Summary: The meeting was an orientation-style overview from the Office of Professional Licensure and Certification (OPLC), led by Executive Director Deana Jurus and staff. They described the office’s mission to protect public health, safety, welfare, the environment, and the public trust, and outlined the agency structure: enforcement, licensing and board administration, operations, legal counsel, board counsel, and the hearings bureau. OPLC said it currently supports 57 boards, including seven advisory boards, and has about 104 filled positions out of 120 authorized. They also noted new voluntary certifications for doulas, lactation consultants, and community health workers that are in rulemaking. A substantial portion of the discussion focused on how boards and staff divide responsibilities under RSA 310:4. Staff explained that the office handles application processing, complaint intake and initial review, records retention, 91-A requests, and rule drafting, while boards make final decisions on licensure criteria, complaint dismissals or investigations, disciplinary actions, and some hearing matters. They also described the rule structure by chapter number ranges and the distinction between full licensing boards and advisory boards. The committee asked about complaint notifications, and OPLC said it is tightening policies so complainants are told whether a matter is closed or moving forward. The licensing process was discussed in detail, especially for nursing. Bethany Katrell explained that applicants apply through an online portal, may receive approval to sit for exams, can work under provisional authority in some cases, and then receive full licensure after exam results and criminal background checks are complete. OPLC said the portal now reduces back-and-forth paperwork and that, as of the latest biweekly report, 87% of applications were decided within the statutory 90-day period and 57% within 14 days. Members also raised questions about why some professions require board approval before taking an exam, and OPLC said that requirement varies by statute or board rule. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• lot about, you know, I've been on the legislature for most 10 years, is kind of the fail-first step therapy
• a lot about, you know, I've been on legislator for most 10 years, is kind of the fail-first step therapy

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• This is for physical and occupational therapy services for clients at the Arkansas State Hospital.
• This is for speech therapy services for the Southeast Arkansas Human Development Center.

Summary: The ALC-Review Subcommittee reviewed seven methods of finance, including university projects at ASU Jonesboro and Mountain Home, Black River Technical College deferred maintenance, UA Batesville’s Farm Project Gateway Center, UAMS PET cyclotron equipment, a new allied health building at UAPB funded by a federal grant, and UCA’s multi-purpose arena design work. The committee also approved an alternative delivery construction project for UAPB’s Allied Health and Sciences Building, with East Harding Construction selected and AMR Architects as designer. Members then approved discretionary grants from the Department of Health and DHS, including support for a heart attack center designation, community health worker training, homeless services funding corrections, behavioral health transition support, and an enabling technology pilot. In the contracts section, the committee reviewed RFQs, construction-related contracts, intergovernmental contracts, and a large slate of out-of-state and in-state contracts covering topics such as seatbelt survey data collection, Medicaid and DHS systems, state hospital staffing and services, veterans’ services, education assessments, and state IT and procurement projects. Several contracts drew extended questioning. Senators and representatives pressed DHS and the Department of Veterans Affairs about heavy reliance on contract nursing and staffing costs, and officials said they were using pay incentives and recruitment efforts to increase state employee staffing. Members also questioned AEDC’s lithium supply chain study and the Department of Education’s security contract, with concerns about projected costs and repeated amendments. The committee held three in-state contracts—Department of Education security services and two DHS staffing contracts—until Friday, then adopted the remaining contracts and received informational reports on contract amendments, executed contracts, and emergency procurements before adjourning.

Transcript Highlights:

• interested in this gender reaffirming or reassignment surgery or I'm interested in hormone replacement therapy
• interested in this gender reaffirming or reassignment surgery or I'm interested in hormone replacement therapy

Bills: S0560, S0590, S0778, S1010

Keywords: child welfare, psychotropic medication, Department of Children and Families, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, minors, healthcare, parental rights, criminal penalties, civil action, sex-reassignment, investigations, economic damages

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Transcript Highlights:

• Over 50% of the projects focus on drug resistance, precision therapies, and novel treatment strategies
• This includes microbiome-guided therapies, immune-based relapse prevention, and guided care using data

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• GENE THERAPY ANALYSIS.
• DIRECTED TO COMPLETE AN ANALYSIS EVALUATING OPTIONS TO SUPPORT ACCESS TO PRESCRIPTION DRUGS USING THERAPIES

Transcript Highlights:

• About what medical therapy they can take, without having to worry.
• The only medical therapy that we get in between a doctor and the patient is this.

Bills: SB5, SB11, SB12, SB5, SB11, SB12

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

Transcript Highlights:

• cancers collectively, there are more than 10,000. rare diseases, but only 5% have an FDA approved therapy
• research, California's life sciences sector is also leading the way in transforming treatments and therapies

Keywords: 988, house, all

Transcript Highlights:

• Schools are not diagnosing mental health conditions, providing clinical services, or collecting therapy

Keywords: 1189, house, all

Transcript Highlights:

• They work along the same rubric when it comes to billing for therapies.
• > that<03:50:20.080> therapy<03:50:20.479> plan.
• <03:50:21.359> As they were working that therapy plan.
• As they were working that therapy plan.
• So, and don't get billing for therapies.

Keywords: 1189, house, all

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• , if, say, for example, I were a small business person and I decided to open a legitimate massage therapy
• place and I were massage therapy place and I were employing<01:21:23.120> five<01:21:23.840><
• <01:22:28.000> The<01:22:28.239> same a massage therapy license.
• The same a massage therapy license.
• Quite frankly, I was focused on making sure that we could also get this massage therapy out.

Keywords: 1189, house, all

Transcript Highlights:

• Um, is the department going to ask providers whether they have, you know, been in therapy or treatment
• and say they had therapy or treatment when they were a teenager?
• <01:29:42.320> Uh have received treatment or therapy.
• Uh have received treatment or therapy.
• or treatment and say they had therapy or treatment and say they had when<01:29:53.199> they<01

Keywords: 1183, house