Transcript Highlights:

• The program, there's a fee to it.
• The program, there's a fee to it.
• So, the FDA has not approved psychedelic therapy for broad-based use.
• Representative Muse: The FDA has not approved psychedelic therapy for broad-based use.
• Representative Muse: The FDA is not likely to embrace psychedelic therapy anytime soon, mostly because

Committee: House Criminal Justice and Public Safety

Transcript Highlights:

• Without this amendment, it would have included any type of FDA-approved self-administered vaccine.
• </c> included any type of FDA-approved included any type of FDA-approved self-administered<01:04:21.960
• All of those protocols are set by the FDA.
• All of those protocols are set by the FDA.
• House Bill 1625, Public Health Newborn Screening Program Fees and Core Conditions.

Transcript Highlights:

• in Titles 44 and 37, relative to psychology and the interjurisdictional compact, and provides for fees
• recreational hunting licenses, to provide for a nonresident license for bear hunting and to establish the fee
• This bill simply adds a nonresident bear hunting license and establishes a fee of $100.
• and two estuble. licenses to provide for a non-resident license for bear hunting and to establish the fee
• This bill simply adds a non-resident bear hunting license and establishes a fee of $100.

Bills: SB525 , SR112 , SR109 , SCR61 , SCR62 , SCR12 , HB175 , HB276 , HB437 , HB456 , HB457 , HB459 , HB488 , HB579 , HB656 , HB804 , HB818 , HB841 , HB981 , HB1052 , HB1089 , HB1101 , HB1154 , HB1166 , HB1193 , HB1194 , HB1203 , HB1209 , HB1244 , HB1249 , HB221 , HCR69 , HCR58 , SB57 , SB405 , SB414 , HB62 , HB193 , HB203 , HB205 , HB210 , HB220 , HB222 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB799 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1236 , HB1241 , SB106 , SB206 , SB248 , SB441 , SR86 , SCR30 , SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB276 , SB295 , SB388 , SB450 , SB465 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB484 , SB490 , SB492 , SB500 , SB501 , SB513 , HCR31 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1091 , HB1117 , HB90 , HB127 , HB138 , HB150 , HB201 , HB268 , HB273 , HB285 , HB315 , HB354 , HB355 , HB360 , HB376 , HB445 , HB506 , HB606 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB972 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB23 , HB136 , HB36 , HB119 , HB126 , HB129 , HB245 , HB271 , HB280 , HB337 , HB351 , HB677 , HB726 , HB789 , HB850 , HB956 , HB966 , SB149 , SB382

Keywords: unclaimed property, abandoned property, escheat, state treasurer, administrator, claimant, purchase agreement, assignment, property recovery, owner verification, documentation requirements, fraud prevention, bankruptcy, bankruptcy court, court order, Uniform Unclaimed Property Act, Louisiana Revised Statutes, R.S. 9:167.1, Chennault International Airport, 40th anniversary

Transcript Highlights:

• , and so, or an annual fee?
• ...a permanent fee and so, or an annual fee?
• and an annual fee.
• Okay... ...application fee and an annual fee. Okay.
• fees for the indigent defense application fee, which is $35 upon application for that to have an attorney

Bills: SB2012

Committee: Senate Appropriations - Government Operations Division

Summary: The Government Operations Division met to continue work on budget and bill amendments. The committee first took up the Attorney General’s budget and reviewed a detailed amendment package that adjusted FTE levels, salary equity funding, funding sources, and several one-time appropriations. Changes included removing some House-added items, adding contingent funding tied to other bills, restoring certain funding sources, increasing the electronic smoking device manufacturer fee, and adding a provision on 24/7 sobriety program fees. Senator Dwyer then offered a further amendment to make the electronic smoking device fee a $2,000 application fee with a $500 annual renewal fee, which passed. The committee then voted 4-1 to adopt the budget as amended and give it a do pass recommendation as amended. The committee next considered House Bill 1143, relating to Great Plains Food Bank funding. After testimony from Amy Cleary on behalf of Great Plains Food Bank, members discussed the organization’s statewide role and the project’s financing, including a planned $30 million facility and existing fundraising. Senator Burkhard moved to restore the appropriation from $5 million to $10 million, and the motion passed 4-1. The committee then voted 4-1 to give the bill a do pass recommendation as amended, with Senator Burkhard designated as carrier. Finally, the committee discussed House Bill 1524, which would fund regional planning councils and authorize 16 FTEs. Members expressed sympathy for the councils’ work but concerns about approving new state-funded positions. No action was taken, and the chair asked to hold the bill over for further review. The committee then recessed, noting remaining budget work and upcoming hearings.

Transcript Highlights:

• What if there are no fees?
• at all or have a very small fee.
• It removes delegation fees in the rural area.
• We're going to take off those fees.
• This bill would take that fee down to zero.

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• These products, while identifying as hemp-derived, can have the same intoxicating effects that users
• So far, the FDA has not taken responsibility to regulate it.
• Unfortunately, the FDA has not taken a stand on making sure that these products are managed, and so this

Transcript Highlights:

• academic years or semesters for which an academy scholarship provides for the cost of tuition and fees
• academic years or semesters for which an academy scholarship provides for the cost of tuition and fees
• Madam Wippen, members, as amended by the Commerce Committee, House Bill 2834 sets the petition filing fee
• What we're finding is that the FDA has proved that the efficacy of that medication is still good past
• What we're finding is that the FDA has proved that the efficacy of that medication is still good past

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• </c><03:09:20.960><c> approved</c> scientifically tested and FDA approved scientifically tested and FDA
• the section 3 to the FDA, making a small carve-out for FDA-approved technologies.
• So I would have concerns with tying state law to the FDA for that reason.
• Section 3 to the FDA, and to tying the section 3 to the FDA, making a small carve-out for FDA-approved
• So I would have concerns with tying state law to the FDA for that reason.

Committee: House Executive Departments and Administration

Bills: SB2 , SB3 , SB5 , SB9 , SB10 , SB14 , SB16 , SB18 , SB34 , SB6 , SB7 , SB8 , SB11 , SB12 , SB13 , SB15 , SB 2 , SB 3 , SB 5 , SB 9 , SB 10 , SB 14 , SB 16 , SB 18 , SB 34 , SB 6 , SB 7 , SB 8 , SB 11 , SB 12 , SB 13 , SB 15 , SB 17 , SB 4 , SB1 , SB2 , SB3 , SB5 , SB9 , SB10 , SB14 , SB16 , SB18 , SB34 , SB6 , SB7 , SB8 , SB11 , SB12 , SB13 , SB15 , SB17 , SB4

Keywords: flooding, public safety, outdoor warning sirens, disaster preparedness, emergency response, flood warning, outdoor sirens, local government, safety measures, flood management, emergency preparedness, municipal safety, disaster response, disaster relief, emergency funding, Meteorological forecasting, local government assistance, training facilities, hemp regulation, consumable products

Bills: SB2 , SB3 , SB4 , SB5 , SB6 , SB7 , SB8 , SB9 , SB10 , SB11 , SB12 , SB13 , SB14 , SB15 , SB16 , SB18 , SB34 , SB2 , SB3 , SB4 , SB5 , SB6 , SB7 , SB8 , SB9 , SB10 , SB11 , SB12 , SB13 , SB14 , SB15 , SB16 , SB18 , SB34 , SB 2 , SB 3 , SB 4 , SB 5 , SB 6 , SB 7 , SB 8 , SB 9 , SB 10 , SB 11 , SB 12 , SB 13 , SB 14 , SB 15 , SB 16 , SB 17 , SB 18 , SB 34 , SB2 , SB3 , SB4 , SB5 , SB6 , SB7 , SB8 , SB9 , SB10 , SB11 , SB12 , SB13 , SB14 , SB15 , SB16 , SB17 , SB18 , SB34

Keywords: flooding, public safety, outdoor warning sirens, disaster preparedness, emergency response, flood warning, outdoor sirens, local government, safety measures, flood management, emergency preparedness, municipal safety, disaster response, disaster relief, emergency funding, Meteorological forecasting, local government assistance, training facilities, Texas congressional redistricting, U.S. House districts

Transcript Highlights:

• um banned um the sale of that when FDA um banned um the sale of the<00:32:55.039><c> podbased</c><00
• so in 2020 when FDA banned those, then<00:33:06.960><c> what</c><00:33:07.120><c> happened</c><00:33
• for um so that are approved by the FDA for um so that<00:53:28.319><c> they're</c><00:53:28.640><c>
• </c><00:53:48.480><c> So</c><00:53:48.640><c> I</c> you know FDA approved products.
• So I you know FDA approved products.

Bills: SB2421 , SB2690 , SB3103 , SB3137 , SB3164 , SB3206 , SB2933 , SB3133 , SB3315

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• Bill 133 with House Amendment 4, an act to amend Title 11 of the Delaware Code relating to fines, fees
• amendment defines therapeutic equivalent and clarifies that health plans are not required to cover every FDA-approved
• amendment defines therapeutic equivalent and clarifies that health plans are not required to cover every FDA-approved

Summary: The Senate received a large number of House communications and committee reports, including several nominations and many bills and resolutions returned from House committees or passed by the House. Committee reports covered a wide range of topics, including education, health, judiciary, finance, housing, transportation, emergency management, and business/technology. The Senate also assigned several measures to committees for further consideration and noted upcoming committee meetings. The chamber confirmed three nominations by roll call: Michael T. Scuse to the Delaware Thoroughbred Racing Commission, J. Eric Firewold to the University of Delaware Board of Trustees, and Joan F. Coker to the University of Delaware Board of Trustees. The Senate also passed Consent Calendar 66, which included Senate Concurrent Resolution 223 on DIA broadcast access for playoff and championship games and House Concurrent Resolution 149 designating June 12, 2026, as Loving Day in Delaware. Members discussed Loving Day and the importance of recognizing interracial marriage rights, with Senator Huxstable, Senator Buckson, and Senator Townsend offering remarks. On the floor, the Senate passed House Bill 141, requiring a firearm responsibilities notice for gun purchasers, after debate over gun safety and industry burden; House Substitute 1 for House Bill 200, as amended, expanding insurance coverage for HIV prevention medications PrEP and PEP; House Bill 426, modernizing municipal street-aid reporting; and Senate Resolution 21, directing a study of portable solar generation devices and related safety and utility issues. The Senate also passed Consent Agenda O, a large package of bills covering topics such as money transmission and stablecoins, nursing advancement, pilot licenses, commerce and trade, subaqueous lands, driver’s license loss due to medical issues, residential speed limits, electronic bidding, family court jurisdiction, agency regulations, technical corrections to multiple local charters, and other measures. The Senate then recessed until June 25, 2026.

Transcript Highlights:

• It's not a backdoor around the FDA. It's quite the opposite.
• It's not a backdoor around the FDA. It's quite the opposite.
• Is there any FDA indication for ibogaine currently? I do not believe so.
• But the FDA kept Missouri, not Missouri, American women safe.
• Again, this is all about us getting to that FDA approval.

Summary: The House first established a quorum after introductions of the Freedom of the Road Riders and Warsaw High School students. Members then took up House Bill 1855, a reporting bill on alpha-gal syndrome. The sponsor described the bill as a public health surveillance measure to add alpha-gal to Missouri’s reportable conditions, require lab reporting to the Department of Health and Senior Services, and send aggregated data to the CDC. Supporters said the bill would help identify hotspots, guide education and funding, and address a serious tick-borne condition affecting rural and urban Missourians alike. Opponents raised concerns about cost, false positives/negatives, and privacy, but the sponsor and others said the system would be HIPAA-compliant and de-identified at the federal level. Two amendments to HB 1855 were debated. An amendment changing the department’s follow-up authority from “may” to “shall” was adopted, with supporters arguing that if the legislature funds follow-up, the department should be required to do it. A second amendment creating an opt-in/opt-out consent process for reporting was rejected 41-10 after extensive debate over privacy, data collection, and whether consent would undermine disease surveillance. The House then adopted the House committee substitute for HB 1855 as amended and ordered it perfected and printed. The chamber next considered House Bills 2230 and 2978, a revised education measure aimed at reducing screen time in K-5 classrooms and encouraging handwriting and cursive instruction. The sponsor said the bill was based on research linking heavy screen use to poorer educational and behavioral outcomes, and supporters emphasized local control, parent access to screen-time policies, and the need to bring experts together through a state-level focus group. An amendment to exclude virtual school programs was adopted. The House then adopted the committee substitute for HB 2230 and 2978 as amended and ordered it perfected and printed. Finally, the House began debate on House Bill 2355, the Food Is Medicine Initiative. The sponsor said the bill would let Missouri use federal funds through 1115 waivers to pilot medically tailored meals, produce prescriptions, nutrition counseling, and related interventions to improve health and lower Medicaid costs. Members generally supported the concept, citing food deserts and the benefits of better nutrition, but an amendment adding vitamin therapies and cleanup language prompted concern from one member about supplement quality and regulation; the transcript ends during that amendment discussion.

Transcript Highlights:

• Abortion pills have been FDA approved for over 20 years. Did y'all know? that?
• And I would also stress that the FDA, we've heard the FDA invoked a number of times, does not recommend
• By the FDA under this risk evaluation and mitigation strategy.
• So that's the FDA that we've been talking about.
• You might also be interested to know that the studies the FDA relies on are.

Bills: SB 8 , SB 1 , SB 2 , SB 5 , SB 10 , HB27 , HB7 , HB17 , HB1 , SB 9 , SB 7 , SB 17 , SB 4 , HB20 , HB18 , HB7 , HB17 , HB1 , HB20 , HB18 , SB9 , SB7 , SB17 , SB4 , SB1 , SR85 , SR87 , SB8 , SB5 , SB2 , SB10 , HB27

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, abortion, healthcare, jurisdiction, civil action, qui tam

Transcript Highlights:

• There are many types of FDA-approved biological products, including therapeutic proteins, monoclonal
• Instead, the FDA has two classifications for comparing biological products to already approved versions
• biosimilars, which are biological products that are highly similar but not identical to an already FDA-approved
• Interchangeable biological products are a subgroup of biosimilars that meet additional FDA requirements
• Biosimilars are safe, FDA-approved alternatives to high-cost biologicals.

Committee: House Health Care & Wellness

Transcript Highlights:

• In 2015, the FDA opened 188 investigations into improper educator-student relationships.
• Not only in the hands of the user, but big tech is also responsible.
• Snapchat, Instagram, Facebook, and all social media apps are responsible for the protection of their users
• This bill relates to requiring the Coordinating Board to waive fees for admission applications submitted

Bills: SB604 , SB843 , SB1636 , SB2395 , SB571 , SB1224 , SB1832 , SB2392 , SB747 , SB2623 , SB2624 , SB2185

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• Access to FDA-approved drugs that are safe and effective.
• FDA has already taken steps to... Standards.
• FDA has already taken steps to standards.
• And I'm just reading from the FDA fact sheet that all biosimilar products meet the U.S.
• As was stated by the sponsors of this bill, I mean, I'm also looking at the FDA sheet that...

Committee: Senate Health

Transcript Highlights:

• So can you commit to applying CDC, FDA standards when a...
• And one example is something called East Shore, which was FDA approved.
• And is that approved by the FDA?
• FDA, to my knowledge, is not yet FDA, to my knowledge, has not yet explored what Dr.
• I'm very concerned about your not wanting to follow FDA and CDC guidelines.

Committee: Senate Ethics and Elections

Summary: The committee first considered the confirmation of Dr. John Lattell to the Florida Board of Medicine. In questioning, senators focused heavily on his views on abortion, vaccines, ivermectin, hormonal birth control, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board should apply Florida statutes, described himself as strongly pro-life and skeptical of some federal health guidance, and said he would be sympathetic when judging fellow physicians because of his own experience in practice. Supporters praised his medical background, military service, and family medicine experience, while opponents argued his stated views could affect his ability to fairly discipline other doctors. The committee voted 5-2 to recommend confirmation, with Senators Polsky and Rouson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Florida Department of Children and Families. Hatch outlined her background at DCF and APD and described department priorities including streamlining services, improving child welfare and behavioral health systems, expanding peer support, and reducing SNAP error rates. Members asked detailed questions about Hope Florida, the number and role of Hope Navigators, agency responsiveness on bill analyses, and accountability for community-based care contractors. Hatch said Hope Florida is a partnership-based navigation effort aimed at self-sufficiency, that 143 Hope Navigators are in place, and that the department is working to improve transparency and oversight through contracts, audits, and a proposed funding model. Senators also pressed Hatch on the Hope Florida Foundation’s compliance history and on forensic audits of community-based care agencies, especially Northwest Florida Health Network. Hatch said the foundation is now in compliance and under audit, and that the contractor had completed corrective actions and was operating within current accountability limits. She said DCF had not yet conducted new forensic audits under her tenure but was preparing another round and was considering using contracted-services dollars to support that work. The discussion ended with continued questioning on oversight, staffing, and whether the agency could provide more formal bill analyses going forward.

Transcript Highlights:

• Dana-Farber's clinical regimens are FDA-approved and NCCN, which is a Medicare compendia, supported.
• Dana-Farber's oncologist prescribed an FDA-approved drug as a second-line therapy for metastatic disease
• So since then, CMS reimburses physicians and CRNAs the exact same amount, 100% of the fee.
• Medicare and Medicaid reimburse nurse anesthetists at 100% of whatever the negotiated fee rate is.

Committee: Joint Joint Committee on Financial Services

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• AMENDMENT SECTION 10 ARTICLE 10 SECTION 24 REQUIRES THE EMPLOYEES PROTECT THE RIGHT BY PAYING A CERTAIN FEE
• IS NOT GIVING THE VIBE, ALSO BIG VOICES OF FLORIDA DOES DE-ESCALATION TRAINING AND WE WILL DROP THE FEE
• >> IF IT HAD TO DO WITH MILITARY DONE THE FLORIDA FDA WOULD BE INVOLVED IN VETERANS AFFAIRS OF THE INVOLVED
• SIGNIFICANT, OF HISTORICAL SIGNIFICANCE THAT OF BEEN UP FOR 25 YEARS, IF IT WAS MILITARY WOULD GO TO FDA