Transcript Highlights:

• Representative Kate Murray. Representative Kate Murray.
• Representative, aren't Representative.
• “In person.
• Representative Cornelli, Representative John McDonald. Representative Stone.
• contact person for a congress person contact person for a congress person seeking<03:28:31.520><

Keywords: 1189, house, all

Transcript Highlights:

• Senator Carter, are you ready for your personal privilege? Senator Carter for personal privilege.
• Senator Clio for personal. Senator Clio for personal privilege. Privilege.
• Personally, I'm happy.
• We have a group of representatives from across the state with us today representing Main Street.
• Personal privilege. Personal privilege, Katrina Jackson.

Keywords: 974, senate, all

Transcript Highlights:

• Representative Chavez. Representative Herndon. Thank you, Madam Chair and Madam Superintendent.
• Madam Chair, Representative?
• The New Mexico Association represents the interests of home health, hospice, and personal care agencies
• Madam Chair, Representative Herndon.
• My legislative assistant was Representative Brittany Barretas, and she once was up there at Representative

Transcript Highlights:

• a fleeing person. a fleeing person.
• Representative Qualls' bill, we object to adding missing persons in line 2.8 of the DE3. enforcement
• persons in um Representative for missing persons in um Representative Qualls'<00:37:47.720> bill,<
• Representative<00:47:11.320> Feist. Representative Feist. Representative Feist.
• Representative Curran, if you like the empress—if you like personal relationships, I do have space available

Keywords: 1183, house

Transcript Highlights:

• Representative Sally Kerans, I represent the 13th Essex District on the North Shore.
• Representative Schwartz in person, then we have Representative Kilcoyne as well. We'll be on deck.
• Representative, welcome. Representative Schwartz, are you here with us?
• Representative Schwartz in person, then we have Representative Kilcoyne as well. We'll be on deck.
• Welcome, Representative.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Representative Representative Dow? Here. Representative Duncan? Here. Representative Garrett? Here.
• Representative Hernández? Representative Herndon? Here. Representative Herrera?
• One is a person who represents an organization that provides services to victims of sexual abuse.
• Chair and Representative, we wanted to be sure that this person had not already been through some sort
• As a way person that's having to... I have, Mr. Chairman, a representative as a school official.

Bills: HB97, HB280, HB183, HB151, HB202

Keywords: Shaken Baby Syndrome, abusive head trauma, child safety, training and education, healthcare funding, youth internships, workforce development, education, grant funding, employment, drinking water, water quality, environment, public health, water filtration, private well testing, federal funding, childhood sexual abuse, time limitations, civil actions

Transcript Highlights:

• Representative Anaya, present. Representative Kate, present. Representative Kate, present.
• Representative E. Chavez, here. Representative N. Chavez. Representative Farras.
• Representative Anaya? No to table. Representative Cates? Representative Cates? Thank you.
• Representative N. Chavez? No. Representative Ferrary? Yes. Representative Jones? No.
• And from my own personal perspective, I have spoken with trial lawyers, representatives of the health

Keywords: 996, all

Transcript Highlights:

• In-person voting.
• represent<01:35:20.320> Botti represent Botti represent Botti >> comment<01:35:21.600>
• Representative Botti: I. Representative Cochran: I. Representative Hashem: Excused.
• Representative Kahaloa: Excused. Representative Sayama: I. Representative Takayama: I.
• >> Yes, Representative Cochran. >> I would much prefer to keep county in personally, as I worked in the

Keywords: 910, house, all

Summary: The committee heard House Bill 1525, which would appropriate funds to counties to open more voter service centers for in-person voting, provide money to the Office of Elections to print and mail the voter information guide to all registered voters, and support a public outreach campaign to increase voter participation. The Office of Elections supported the bill and estimated costs of a little over $2 million to print and mail the guide and about $178,000 for outreach, noting it spent about $441,000 on election advertising in 2024. Testimony from advocacy groups including Hawaii Alliance for Progressive Action, Common Cause Hawaii, and Indivisible Hawaii strongly supported the measure, emphasizing access for neighbor island voters, people with disabilities, new voters, and voters who need ballot assistance. County election officials from Honolulu, Maui, and Kauai provided comments or testimony that were more cautious. They said additional funding would be welcome, but staffing and logistics remain major constraints, especially for election-day service centers. Honolulu’s city clerk said funding alone would not necessarily solve long lines, while Maui’s county clerk explained that voter service centers require trained seasonal employees, extensive training, and the ability to handle many ballot styles. Maui also described its current pop-up sites, including Hana, as expensive but necessary for remote communities, and said the county is already running at bare minimum staffing. Members asked questions about who decides how many service centers are opened, how staffing is handled, and whether there is a middle-ground model between the old precinct polling places and the current voter service center system. Honolulu explained that county clerks make those decisions under current law and that the county has tried pop-up sites in addition to its main centers. The discussion also noted that in 2024 most voters used vote by mail, while a smaller number used early in-person voting or final-day service centers. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• To my far left is Representative Higgins. To her right is Representative Moakley.
• So District Attorney Marian Ryan and Representative Sousa. Representative Sousa.
• I have quid in person.
• hygiene practices or supplies, carceral facilities also represent... ...on personal hygiene practices
• I know this personally.

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy public hearing on a wide range of civil rights, immigration, hate crimes, and reparations bills. Chair Edwards and Chair Day opened with strict testimony rules, including two-minute limits, written testimony options, and decorum requirements. Attorney General Andrea Joy Campbell testified in strong support of S. 1126/H. 1920, the Combating Hate in the Commonwealth bill, saying Massachusetts needs stronger tools to address rising hate and bias incidents. Her Civil Rights Division chief explained that the bill would give the division civil investigative demand/subpoena power, expand civil rights enforcement, close loopholes in the Massachusetts Civil Rights Act, add protected classes to the hate crimes law, and require better hate-crime data reporting. The committee also heard support for H. 1954 on access to counsel in immigration proceedings, H. 4684 on law enforcement identification and public trust, and H. 1927 to exonerate individuals accused of witchcraft in colonial Massachusetts. Several bills focused on discrimination and civil rights enforcement. Supporters of S. 1248 on organizational standing said fair housing nonprofits need explicit authority to bring discrimination complaints in their own names, especially as federal protections are under attack. On H. 1246, advocates urged adding sex and gender as protected classes in the hate crimes statute, arguing women are not protected under current state law. H. 1820 drew testimony for protections against height and weight discrimination. H. 1995 would regularize sentencing for hate crimes by requiring diversity awareness training for both convictions and continuances without a finding, and H. 1056/H. 1589 would broaden hate-crime victim standing and require restitution to be used to repair harm. H. 1886 would clarify that defense-based social service staff are exempt from mandated reporter obligations when working under attorney-client privilege. The committee also heard testimony on H. 1889/S. 1064, a bill to eliminate disparate impact. Environmental justice advocates, fair housing attorneys, and community members argued that neutral policies can still produce discriminatory outcomes and that Massachusetts should allow state-court claims and a private right of action to address them. Committee members raised concerns about litigation floodgates, punitive damages, and the scope of protected classes, while supporters said the bill would mainly target systemic harms and injunctive relief. Additional testimony supported H. 1922/S. 119, the Fair Investment Act, which would create civil rights protections in venture capital and other investment settings for founders and investors, especially women and minority entrepreneurs. The hearing also included testimony on H. 1683, the Sex Trade Survivor Act, which would expand vacatur and expungement relief for trafficking survivors, remove archaic offenses from the code, and create an interagency commission; supporters emphasized reducing barriers to housing, employment, and reentry. Finally, the committee heard extensive support for H. 1753/S. 1181, establishing a commission to study reparations in Massachusetts. Testifiers described the state’s history of slavery, redlining, and ongoing racial disparities, and urged the committee to report the bill favorably. No votes or final actions were taken during the hearing.

Transcript Highlights:

• Representative Rhymer. Representative Rhymer.
• It's natural persons and everything else, um, we take out of the equation. >> Thank you, Representative
• Representative Reed. So, uh fairly. Representative Reed.
• Allen. >> No. >> Representative Buck. >> Yes. >> Representative Cha. >> I. >> Representative Davids.
• . >> I. >> Representative Hansen. >> I. >> Representative Heintzman. >> Nay. >> Representative Huitt.

Keywords: 1183, house

Transcript Highlights:

• Thank you, Representative. Any questions? Representative Gantt? Thank you, Mr. Chair. Rep.
• Representative Baker? Thank you.
• I want to start off today by thanking Representative Fabrizio because I personally appreciate any bill
• Representative Alvarez in debate. Representative Fabricio, thank you so much for the bill.
• Congratulations, Representative. Next up. Representative, next up. We have H.B. 961.

Summary: The Government Operations Subcommittee heard three bills. HB 1479, by Rep. Baker, created a public records exemption for lethality assessment forms and the victims’ answers under the domestic violence lethality assessment law. The sponsor said the goal was to protect victims and keep the form consistent statewide; a question was raised about whether other agencies such as DCF could access the information. The only public testimony was in support, and the bill passed 17-0 and was reported favorably. The committee then took up HB 317, by Rep. Fabricio, which would require complaints against law enforcement and correctional officers to be written and sworn, require officers to receive the complaint and supporting evidence before interrogation or discipline, and keep unfounded investigations out of personnel files and from being used for promotions or commendations. Supporters, including the Fraternal Order of Police and a state corrections PBA representative, argued the bill would protect officers from frivolous or retaliatory complaints. Opponents, including the Florida Police Chiefs Association and the Florida Sheriffs Association, warned it would undermine transparency, early warning systems, accreditation, and accountability, and could discourage legitimate anonymous complaints. Several members debated the balance between officer due process and victim protection; the bill passed 11-6 and was reported favorably. Finally, the committee heard HB 961, a Department of Highway Safety and Motor Vehicles measure presented by Judge Maney. A strike-all amendment replaced the original language with a package aimed at improving customer service and efficiency in driver and vehicle services, including online title and registration requests, longer renewal periods for certain permanently handicapped persons, and a new misdemeanor offense for selling DHSMV appointment slots. The amendment and the bill as amended were supported by Florida tax collectors, adopted, and the committee passed HB 961 unanimously, 17-0, with a favorable report.

Transcript Highlights:

• Both provisions essentially address the credit that a person would receive if the person restarts.
• <00:02:55.760> either happens when a person either happens when a person either involuntarily
• would receive if credit that a person would receive if the<00:03:07.120> person<00:03:07.440>
• <00:03:17.920> could under this standard, a person could under this standard, a person could
• c> alcoholrelated<00:09:32.320> driving person has an alcoholrelated driving person has an

Keywords: 1183, house

Transcript Highlights:

• Representative Bam? Present. Representative Boyd? Representative Bam? Present. Representative Boyd?
• Representative Carver? Present. Representative Cox? Present. Representative Domaine? Present.
• Representative Green. Representative Hilfordi. Representative Jordan. Representative Jacob Landry?
• Representative Terry Landry? Present. Representative McCormick. Representative Minna? Present.
• Representative Newell? Representative Minna? Yes. Representative Newell? Representative Reiser?

Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.

Transcript Highlights:

• Representative Cochran excused. Representative Grandinetti aye. Representative Kila aye.
• Representative Cochran excused. Representative Grandinetti aye. Representative Kila aye.
• Representative Kagawa aye. Representative Lee is excused. Representative Mora with reservations.
• Representative Kagawa, Representative Laik excused. Representative Mi, I... Representative Moroka?
• representative Evin I representative representative Evin I representative keawa<01:55:00.119>

Keywords: 910, house, all

Summary: The joint hearing covered HB 1484 on transit-oriented development and HB 157 on transportation. For HB 1484, testimony included a request from the Hoi Community Development Authority to be removed from the measure while offering to assist if the transit-oriented development law is implemented, along with testimony in opposition and support from several individuals. The committees later recommended HB 1484 be passed with amendments, including an HD1, a defective date, deletion of a reference to section 225 on page 11, adoption of H-CDA’s proposed amendment, and related committee report changes. The vote was adopted in both committees, with Representatives Cochran and Lee excused and Representative Mora voting with reservations. HB 157 concerned the transfer and acceptance of roads in the Villages of Kapolei. HHFDC supported the bill’s intent and explained that the roads were originally self-permitted, the city had not accepted dedication, and HHFDC has been maintaining and upgrading the roads under an MOA that requires improvements to city standards before transfer. Testimony from the Villages of Kapolei Association and others described ongoing problems with non-emergency police services, illegal parking, abandoned vehicles, and the need for city enforcement on roads that are open to the public. Committee members asked about the current holdup, the possibility of transferring roads in segments, and whether a cash settlement could resolve the issue; HHFDC said it was working in segments and that the city had mentioned a $60 million figure. The committees then recommended HB 157 pass with amendments, noting they were awaiting an Attorney General opinion on authority to compel the transfer and that the matter would continue to the Committee on Water and Land. The Transportation Committee also heard several additional bills. HB 1083, concerning vessels in state commercial harbors, drew support from the Department of Transportation and some industry groups and opposition from charter operators; HB 1159, which would require compliance with harbor master evacuation orders and increase penalties, drew DOT support and opposition from multiple vessel operators, who argued the bill was too broad and should define emergencies more clearly and use tiered penalties. HB 58, limiting civil liability for firefighting at commercial harbors, received DOT and Maritime Group support. HB 1165, on county disposal of ocean-bordering property and state highway acquisition, received DOT support. HB 938, a broad motor vehicle franchise and EV-related bill, drew support from the Hawaii Automobile Dealers Association and the Motor Vehicle Industry Licensing Board, but strong opposition from the Alliance for Automotive Innovation, Tesla, Rivian, Scout Motors, and others; opponents argued it would restrict direct-to-consumer EV sales and innovation, while dealers said the bill was too broad and needed further stakeholder work. No final votes were taken on the Transportation Committee’s remaining measures in the portion provided, and the joint hearing was adjourned after decision-making on HB 1484 and HB 157.

Transcript Highlights:

• :18.800> Representative representative Shore no Representative representative Shore no Representative
• Representative Georgees: Yes. representative coren yes representative representative coren yes representative
• correct him wherever he strays on this to become a personal representative of the child.
• And so when you look also specifically at the terms personal representatives, when you look at HIPAA,
• > look personal Representatives when you look personal Representatives when you look at<03:31:

Keywords: 928, house, all

Summary: The Children and Family Law Committee opened a hearing on House Bill 285, which would add language to the parental rights and responsibilities statute directing judges to consider known mental health or medical conditions that could affect parenting. Representative Ball, the bill’s sponsor, said the intent was not to require disclosure of private records, but to give judges a reminder to ask whether anything in a parent’s condition could interfere with parenting and to help ensure children’s safety and best interests, especially in high-conflict or pro se family court cases. He said the proposal was meant as a guardrail and not as a way to reduce parenting time or take children from parents. Committee members questioned whether the existing best-interest factors already cover parenting ability, whether the new language could invite stigma or weaponization in custody disputes, and whether judges already have authority to ask these questions. Ball responded that judges often do not ask, that family court can be difficult for unrepresented parties, and that the language would simply make the issue explicit. He also said he would be open to amendments, including language that more directly instructs judges to ask the question. One member raised concerns about whether the bill should say judges “shall” ask rather than “may,” and Ball said he was willing to work with the committee on wording. Sarah Horn, a NAMI New Hampshire board member and parent, testified in opposition. She described her own history with OCD, ADD, PTSD, hospitalization, and recovery, and said mental illness had not harmed her ability to parent; she warned the bill could increase stigma and discourage people from seeking treatment. In response, Ball said her testimony was part of why he had considered an amendment to include physical health as well, so the bill would not single out mental health. The hearing ended without a vote in the transcript provided.

Transcript Highlights:

• removing the language requiring persons removing the language requiring persons convicted<00:02:
• Representative Hudson, yes. Representative Johnson, no. Representative Pinto, no.
• Representative Rehm, no. Representative Repinski, yes. Representative Schwartz, yes.
• Representative Greenman: Mr.
• Thank you, Representative Duran. Representative Lee Moller, thank you, Mr. Chair.

Keywords: 1183, house

Transcript Highlights:

• Representative Prue? Yes. Representative La Salle? I. Representative DeVoid? Yes.
• Representative Suborni Dishman? Yes. Representative Solomon? Yes. Representative Jarris? Yes.
• Representative Prue? Yes. Representative La Salle? Yes. Representative DeVoid? Yes.
• Representative Rainville? Yes. Representative Murphy? Yes. Representative Soon Numan? Yes.
• Representative Representative Prue? Yes. Representative La<00:26:14.280> Salle?

Keywords: 928, house, all

Summary: The committee first took up Senate Bill 409 in executive session, with the chair noting a caucus break to explain amendments to several substitute members. Members discussed a proposed amendment to narrow the bill’s felony provisions by limiting them to specific, knowingly dangerous conduct rather than making the offense too broad. The committee also noted a planned floor amendment to add missing “or” language to clarify that the listed acts were alternatives, not cumulative requirements. The amendment was adopted 13-0, and the bill as amended was then reported OTPA by a 13-0 vote. It was initially said to be headed to consent, but members later agreed it would not go on consent because a floor amendment was anticipated. The committee then opened House Bill 667, which would extend protections for medical personnel into emergency room settings. Supporters said the bill was needed because emergency room staff face increasing assaults and existing protections did not fully cover ER circumstances. Several members described firsthand or secondhand incidents involving nurses, EMTs, and other staff being threatened or injured, and argued that stronger penalties would help deter violence and improve prosecution. Others supported the bill but raised concerns about how it might affect people experiencing mental health crises, dementia, or intellectual and developmental disabilities. A proposed amendment from Representative Sher would exempt people experiencing a mental health crisis who have a mental health diagnosis, and also address dementia and certain developmental disabilities. Supporters said the amendment was narrowly tailored and had backing from the Disability Rights Center, NAMI New Hampshire, and the New Hampshire Nurses Association. Opponents argued that the criminal justice system already has safeguards such as prosecutorial discretion, insanity defenses, and competency rules, and warned against creating special exceptions that could weaken equal application of the law. After debate, the committee voted 10-3 to report HB 667 ought to pass, with members noting that minority and majority reports would be prepared.

Transcript Highlights:

• By State Affairs Committee, Government Operations Subcommittee, Representative Persons-Mulicka, and Representative
• Representative Persons-Molica, you're recognized.
• Representative Persons-Mulicka, you're recognized. Thank you.
• Representative Personal, you recognized. Thank you, Mr. Speaker.
• Representative Persons Muller, you recognize. Thank you, Mr. Speaker.

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then moved into returning messages from the Senate. Early action focused on CS/CS/HB 1503 on computer science education and certification, which would add computer science and artificial intelligence content in high school and create a K-12 teacher certificate program; after adopting a House amendment restoring certificate language and adjusting implementation timing, the House concurred in the Senate amendment and passed the bill 105-0. The chamber then took up CS/CS/HB 1085 on local government cybersecurity, adopting a House amendment to allow local governments to buy into the cyber grant program and add a five-year sunset, then concurring in the Senate amendment shifting grant administration back to the Florida Digital Service; the bill passed 104-1. The House refused to concur in Senate amendments to CS/HB 351 on concurrent legislative jurisdiction over U.S. military installations and HB 6011 on reporting gifts or honoraria, sending both back to the Senate. It also refused to concur in the Senate amendment to CS/HB 851 on professional learning for instructional and school administrative personnel, saying the Senate version expanded the bill beyond its original autism-focused scope. After a recess, the House unveiled Speaker Daniel Perez’s portrait and heard extended remarks praising his leadership, institutional reforms, and the work of House staff and members. In the second returning-message list, the House debated CS/CS/HB 1471 on systems of law and terrorist organizations. The Senate amendment clarified the definition of “promote,” refined notice and timeline provisions for terrorist organization designations, and kept references to Sharia law as an example in the foreign religious law section. Supporters argued the bill was aimed at conduct beyond speech and was intended to protect the Constitution and public safety; opponents warned it would chill free speech, target Muslim Floridians, and give the governor and cabinet unprecedented power without adequate due process. After lengthy debate, the House concurred and passed the bill 80-25. The House then took up CS/CS/HB 1473, a public records bill tied to HB 1471, and moved to concur in a technical Senate amendment aligning the records exemption with the revised structure of HB 1471.

Transcript Highlights:

• or the personal care attendant needs to go with the person to a recreational visit or something else
• We wanted to directly reach out to every single person, and those were an actual person making every
• Representative Andrade, oh, Representative Anderson, one more. This will be the last one.
• , that representative, is again the person that's helping to connect them with services, helping to walk
• Do you have one follow-up, Representative?" "No. Representative Tant, you're recognized.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• Representative Kuros? Aye. Representative Bress? Representative Cooper? Pass.
• Representative Lopez. Representative Liguori? Aye. Representative Maples?
• Representative Contreras. Representative Kappa. Representative LaGoree. Aye. Representative Lopez.
• Representative Contreras. Representative Kappa. Representative LaGoree. Aye. Representative Lopez.
• Representative Ligori. Aye. Representative Cooper. Representative Ligori? Representative Lopez?

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.