Transcript Highlights:

• requiring boards and property managers requiring boards and property managers to<00:09:19.800>
• statute uh not uh uh property managers statute uh not uh uh property managers uh<00:10:14.880>
• <00:10:24.040> uh requiring boards or property managers uh requiring boards or property managers
• <00:37:40.880> company particular property management company particular property management
• law uh where that actually is the case law uh where that actually is the case and<00:58:43.640><

Keywords: 1183, house

Transcript Highlights:

• We focus on banks, large FIs, asset managers, and wealth managers, and we'll touch on a bit of each of
• uh asset managers and wealth managers.<00:23:33.840> uh<00:23:33.919> and<00:23:34.159>
• <00:24:03.200> um and management consulting space. um and management consulting space. um
• So, if you're thinking and manage.
• We're just a catalyst, or I think a better use case for it in some cases. Just an extension.

Keywords: 1189, house, all

Summary: The commission met to review stable tokens, real-world asset tokenization, and blockchain-based trust, approved the agenda and December 12 minutes, and heard a presentation from Anchorage Digital after postponing a planned Bitco presentation because of its IPO quiet period. Anchorage’s Melinda Delos, Joe Mioli, and Kevin Wasaki introduced the firm, describing it as a global digital assets platform and the first crypto-native institution in the U.S. to receive a federal banking charter. They said their approach emphasizes security, regulated custody and trading services, and responsible innovation for institutional clients, banks, states, and sovereigns. The presentation focused on post-Genius Act momentum in the stablecoin market. Anchorage said the law provided regulatory clarity and helped spur activity with major clients, including Athena, Tether, and Western Union. The speakers highlighted Western Union’s planned stablecoin as especially significant because it reflects adoption by a long-established traditional payments company, and they said the project illustrates how stablecoins can support programmable, real-time, interoperable payments. They also noted that Anchorage is providing issuance infrastructure for the Western Union project. The commission and presenters also discussed government uses of tokenized assets, including reserve legislation, digital assets for tax collection and fees, and a Marshall Islands initiative to use a tokenized sovereign bond for direct citizen payments. In response to a question, Anchorage said it would follow up on which states are using digital assets for revenue collection, mentioning Louisiana and Pennsylvania as examples. The banking discussion centered on remittances, instant payments, and interbank settlement, with Anchorage arguing that stablecoins can reduce settlement time, fees, and foreign exchange risk while improving traceability and auditability.

Transcript Highlights:

• And in most cases, the insurance companies comply.
• It should be per exam to make it more manageable.
• Supreme Court case that has been granted cert.
• Nick Goodwin, business manager, plumber.
• In my case, the original estimates totaled over $350,000.

Keywords: 987, senate, all

Transcript Highlights:

• They already send cases there today.
• They will be so inundated with election fraud cases that are simply... ...with election fraud cases that
• and monitor the recommendations for how we manage lands in the water management district. ...and monitor
• the recommendations for how we manage lands in the water management district.
• We do it in water management districts.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of member introductions recognizing interns, pages, volunteers, and the retirement of Pastor Gary Austin from the sergeant’s office. Leadership also announced that budget talks with the House were continuing and that senators would not need to plan on being in next week, suggesting progress toward a budget framework. After routine floor business, the chamber took up a major third-reading measure on citizen initiatives and several education bills, followed later by returning messages from the House on health and school-safety measures. The most extensive debate centered on the citizen initiative bill, which sponsors said was intended to protect the constitutional amendment process from fraud and abuse based on election-crime investigations and a large state report on petition fraud. Supporters argued the bill would add reasonable guardrails, prevent misuse of public funds, and preserve integrity while still allowing grassroots participation. Opponents from both parties argued it would make citizen-led amendments much harder by adding costs, deadlines, criminal penalties, and administrative burdens that would chill participation and favor wealthy or corporate interests. After lengthy debate, the Senate voted 28-10 to pass the bill. The chamber then passed several education measures with little or no opposition, including bills tied to Bright Futures, dual enrollment, Florida ABLE, teacher preparation, and other education policy updates, all by 38-0. Later, the Senate concurred in House amendments on a stem cell therapy bill, an EKG requirement for student athletes, and a cardiac emergency bill, each passing 37-0. The House also sent back a school safety bill with amendments affecting child care facility partnerships with law enforcement, temporary door locks during active assailant incidents, supervision windows, and funding for panic alarm systems; the transcript ends as that bill is being explained.

Transcript Highlights:

• <00:18:57.679> uh so basically holding the med manage uh so basically holding the med manage
• that's the case, why are we setting that's the case, why are we setting state<00:25:27.760> specific
• <00:28:52.559> condition they wait until a manageable condition they wait until a manageable
• > illness, For someone managing chronic illness, For someone managing chronic illness, picking
• case by case basis on a test station<00:54:14.640> and<00:54:15.040> also<00:54:15.440

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.

Transcript Highlights:

• While the intensive case management programs provides community-based nonclinical support by obtaining
• While the intensive case management programs provides community-based nonclinical support by obtaining
• While the intensive case management programs provides community-based nonclinical support by obtaining
• the Coyana Clubhouse and Intensive Case the Coyana Clubhouse and Intensive Case Management<04:47
• While the intensive case management<04:47:33.040> programs<04:47:33.680> provides management

Keywords: U.S. House of Representatives Floor Proceedings on Monday, December 15, 2025, 1012, house, all

Transcript Highlights:

• tax to assist counties in managing our waste.
• increased and new material management increased and new material management efforts<00:15:27.880
• case might be uh and this goes case the case might be uh and this goes I<00:23:39.600> have<00
• <00:26:30.799> tax obviously the solid waste management tax obviously the solid waste management
• <00:57:59.359> in property taxpayers so in this case in property taxpayers so in this case

Bills: HF1359, HF1829, HF290, HF1933, HF926

Keywords: solid waste management, resource management account, environmental fund, taxation, Minnesota statutes, homestead, property tax, classification, disability, resort properties, recreational use, commercial property, tax refund, estimated tax, interest on refunds, income tax, corporate franchise tax, S corporation, partnership, corporation

Transcript Highlights:

• Just had you here as an encouragement. case I guess so as an in case okay So we've we've heard a little
• Emergency Management.
• Management Council, of which 39 state agencies are a part of.
• Our job at the Division of Emergency Management... emergency management is to support our local government
• So I like what this does in case In this case, the DPS in Texas wants to go off on a hair with people

Bills: HB33, HB298, HB 1024, HB 1234, HB 1261, HB1696, HB298

Keywords: electronic monitoring, parole supervision, law enforcement, warrant execution, public safety, handgun license, judgment evaluation, medical advisory board, application denial, gun law procedures, abandoned property, unclaimed property, disposition, handgun, driver's license, commercial driver's license, weapon carry, gun rights, Texas legislature, legislative attendance

Transcript Highlights:

• This is not game management.
• Our adaptive management rules also allow that by game management unit as well.
• we do um and we our adaptive management we do um and we our adaptive management rules<00:09:33.519
• We can, but in the case of a temporary shortage, such as a drought, designation of a water management
• We can, but in the case of a temporary shortage, such as a drought, designation of a water management

Keywords: 910, house, all

Summary: The Committee on Water and Land heard testimony on several measures, beginning with HB 347 relating to goats. The Department of Land and Natural Resources offered comments and said its Division of Forestry and Wildlife was available to answer questions. Testimony on the bill was largely opposed, with speakers arguing it would amount to a “free-for-all” rather than game management and urging deferral. DLNR responded that bag limits can be adjusted by area and game management unit under adaptive management rules, and that hunters typically take out their catch. No vote was taken in the portion provided. The committee then took up HB 1278, on which DLNR testified in support. The record in the excerpt does not include discussion of the bill’s substance beyond the department’s support, and no action or vote is shown. A substantial portion of the hearing focused on HB 144, relating to the Mauna Kea Stewardship and Oversight Authority and proposed exemptions from Sunshine Law requirements during the transition period. The authority’s vice chair testified that the body is a startup agency with a complex transition from the University and needs to be able to discuss strategic planning, operational formation, and other day-to-day matters with more than two members present. Opponents, including the Public First Law Center, Hawaiʻi Environmental Alliance, and community members, argued the bill would cut the public out of the deliberative process, allow decisions to be hashed out in private, and set a poor transparency precedent. One testifier also raised cultural and environmental concerns about Mauna Kea. Committee members questioned whether existing law and narrower guardrails could address the authority’s concerns, and the authority said it had already proposed a narrower alternative but the bill returned in similar form. The excerpt ends before any final committee action on HB 144 is shown.

Transcript Highlights:

• What the risk management fund is? Yes. It's a risk management fund. It's a risk management fund.
• Who manages it? TAS. TASB has a... The TASB manages it.
• So the risk management fund?
• Why not let the state manage? It's very low risk, easy to manage funds and save.
• This is simply not the case.

Bills: SB 13, SB 27, SB 57, HB1325, HB1655, HB3312, HB5526, SB13, SB57, SB207, HB441, HB591, HB5019, SB27, SB843

Keywords: lobbying, public funds, political subdivision, local government, county association, municipal lobbying, registered lobbyist, Texas Legislature, taxpayer lawsuit, injunctive relief, attorney's fees, government finance, county dues, state association of counties, sheriffs association, law enforcement officers, legislative advocacy, bill tracking, legislative alerts, Government Code Chapter 556

Transcript Highlights:

• These cases come to myself and to the Medicaid medical directors on a case-by-case basis.
• We've had about 10 cases.
• We've had about 10 cases.
• <02:11:50.000> the case-by Case basis looking at the case-by Case basis looking at the utility
• Carolyn Virtue, Granite Case Management.

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• In that case, take all the time you need. Do you want to... how?
• We've had so many anecdotal cases.
• I mean, as I've said, we've had success in some of our cases.
• I had a case where, again, it was a doctor.
• She said that she would pass on the flyers to her manager.

Keywords: 995, all

Summary: The committee heard testimony on several financial services bills, with the main focus on cryptocurrency kiosk regulation, financial literacy, and earned wage access. Legislators and witnesses described widespread crypto-related scams targeting older adults, often involving impersonation, urgency, spoofed phone numbers, and rapid transfers through kiosks that are difficult to trace or recover. Supporters of the kiosk bills said Massachusetts needs licensing, registration, transaction limits, warning notices, receipts, refund protections, and other safeguards; some also urged a “pause” or hold on transactions to give victims time to reconsider and allow law enforcement to intervene. The Attorney General’s office, AARP, local law enforcement, and several prosecutors and sheriffs backed the consumer-protection approach, while Bitcoin Depot supported a narrower regulatory framework but opposed low fee caps and strict daily limits, arguing they would function like a ban and reduce legitimate use. Witnesses from Waltham police, Middlesex and Essex County law enforcement, and the AG’s office said crypto scams are growing quickly, losses are often unrecoverable once funds move, and current tools are limited. They described cases involving elderly victims losing thousands of dollars, and said warnings alone are not enough because scammers keep victims on the phone and guide them through the process. Some witnesses said a temporary hold or refund mechanism has worked in at least one case, while others emphasized that transaction limits and visible disclosures could reduce harm even if they do not stop fraud entirely. The AG’s office also said it would submit written opposition to separate earned wage advance legislation, while DailyPay testified in support of that bill, saying earned wage access helps workers bridge short-term gaps without debt or credit reporting. The committee also heard support for mandatory financial literacy education from Representative Jim Hawkins, who said high school students need instruction on credit, debt, and inflation before they enter adulthood. In addition, the committee took testimony on litigation financing bills from insurance industry representatives, who argued for disclosure and regulation of predatory litigation lending and warned about foreign interference and reduced plaintiff recoveries. No votes or final actions were taken during the hearing; members asked questions throughout, and the chair noted the need to move testimony along because of time constraints.

Transcript Highlights:

• Doctors are spending more time on paperwork than with their patients in many cases.
• And I'm sure that that will be the case here as well, Chair. So I appreciate that. Same, same.
• To impose punitive penalties on plans for these inherent... ...in a particular case.
• Lana McBee, on behalf of Behavior Management Solutions, in strong support.
• People need evidence-based interventions to treat and manage their condition like any other.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• And so in their case, the board oversight is good.
• I'm an audit manager with the state auditor's office.
• I'm an audit manager with the state auditor's office.
• In most cases, you’ve overvalued my property.
• And that very often is the case. ...going to deal with this, and that very often is the case.

Keywords: 908, all

Transcript Highlights:

• Court case.
• Three Supreme Court cases and plenty of lower court cases.
• The Dorgan case is relying on earlier federal law cases. That is Williams v. Lee from 1959.
• White Eagle is an important case because it's wrapping up these federal law cases and bringing the law
• And that's sort of recognized in the Capizan case and some of the other cases.

Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.

Transcript Highlights:

• with the Office of Management and Budget.
• My name is Crystal Hogarth, and I serve as the ACFR manager with the Office of Management and Budget.
• And again, no disagreements with management.
• And in some of these cases, we do not.
• But I don't think that's the case.

Keywords: 908, all

Transcript Highlights:

• that comes in and they're not sure if that case should go to law enforcement or if it should be a case
• that comes in and they're not sure if that case should go to law enforcement or if it should be a case
• the Integrated Criminal Justice Fund to improve case management.
• It also allows the administrator of the trial court case management system to coordinate and cooperate
• Also allows the administrator of the trial court case management system to coordinate and cooperate with

Summary: The committee first heard Senate Bill 135, which would redirect a portion of wagering dedications from the sports fund to the Louisiana Early Childhood Education Fund and remove a cap affecting that funding stream. The author and staff explained the amendment was designed to avoid any impact on the State General Fund while increasing support for early childhood education. The committee adopted the amendment and reported the bill favorably as amended. Senate Bill 202, from the Secretary of State’s office, would increase the number of compensated days for parish board of election supervisors to cover additional election-related duties. Secretary Landry and election officials testified that the change was needed because supervisors now perform more work, including ballot tabulation, machine sealing, and verification tasks. The committee adopted technical and appropriation-related amendments and reported the bill favorably as amended. The committee then took up several health and human services bills. Senate Bill 155 would require insurance coverage for medically necessary dental procedures needed before cancer treatment; testimony from medical and dental professionals emphasized that untreated dental problems can delay chemotherapy or radiation and worsen outcomes. After adopting amendments to narrow the fiscal impact, the bill was reported favorably as amended, with discussion of a possible subject-to-appropriation amendment to be worked out later. Senate Bill 237, a major DCFS reform bill, drew extensive testimony and debate over child welfare oversight, mandatory reporter training, law enforcement coordination, and the bill’s large fiscal note. The committee adopted amendments, including a subject-to-appropriation provision, and reported the bill favorably as amended after emotional testimony from supporters and former DCFS employees. The committee also advanced Senate Bill 465 on prompt-pay insurance reform after an amendment reduced the fiscal note to zero; Senate Bill 261 on unclaimed property after a substitute bill was adopted; Senate Bill 295 on expanded coverage for traumatic brain injury rehabilitation after amendments narrowed the mandate and added subject-to-appropriation language; Senate Bill 157 providing six weeks of paid parental leave for K-12 educators and staff, also subject to appropriation; Senate Bill 276 requiring bail bond producers to certify outstanding obligations before new appointments; Senate Bill 83 on human trafficking services after removing the age-expansion cost; Senate Bill 143 on bulletproof vests after shifting funding away from a direct state appropriation; and Senate Bill 450 on school safety assessments after an amendment limited implementation to available funds and resources. In each case, the committee’s actions focused on reducing or eliminating fiscal notes while keeping the bills moving forward.

Transcript Highlights:

• And then we also manage the state energy management office, and that office provides energy efficiency
• This process is currently managed This process is currently managed through our municipal tax rate setting
• Parent or is this just more case management of the child support system?
• the Salesforce grant management plan.
• The federal one is almost more case management, if you want to think of it that way.

Keywords: 928, house, all

Transcript Highlights:

• But, you know, we can't manage everything.
• Then additionally, $2 million for our facilities management, $2 million for our facilities management
• The secretaries themselves meet at least three times a week on case reviews, discussing specific cases
• It's a very intensive case management model.
• But really the level one priorities are those more intensive case management supports.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• We are also facing a shortage of protective investigators and case managers within the Department of
• He requires a lot of prompts and physical assistance in managing his daily living skills.
• , case manage... yeah, thank you. ...to actually manage case management.
• But overall, for managing all of it, we've got about roughly a little under 200 people.
• In this case, it has not that I'm aware of. Thank you.

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.