Transcript Highlights:

• Additionally, requires AHCA to report to the Governor and Legislature on payments made under the Medicaid
• begin working with those survey results, working those survey results into the quality incentive payment
• We are reimbursed about 50% of what a hospital gets.
• We are reimbursed about 50% of what a hospital gets. True with ambulatory surgery centers.
• We are reimbursed about 50% of what a hospital gets reimbursed for providing the same surgical support

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• reimbursement models have Current reimbursement models have perverse<00:11:28.800><c> incentives.
• </c><00:35:35.520><c> for</c> in the pilot is that we reimburse for in the pilot is that we reimburse
• </c> Can't do that because under the payment Can't do that because under the payment methodology<00:47
• We’re already taking that risk for providers in the potential reduced reimbursement or maybe not payment
• We’re already taking that risk for providers in the potential reduced reimbursement or maybe not payment

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• Through our child care resource and referral services, through alternative payment programs, we also
• run 12 California state-funded Referral services through alternative payment programs.
• still very much a need that increasing reimbursement rates and addressing that.
• Codify the enrollment-based reimbursement with What we started.
• Codify the enrollment-based reimbursement with the 15% flex factor. It doesn't cost any more money.

Summary: The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care. Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible. The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.

Transcript Highlights:

• We did note one duplicate payment.
• And again, incidentals reimbursements are pretty common, but for whatever reason the contract didn't
• You mentioned that there was one duplicate payment. Yes. And I think I missed it.
• The contractor noted the duplicate payment, notified the city, and they did refund them.
• The duplicate payment notified the city, and they did refund them.

Summary: The Joint Legislative Auditing Committee heard the Auditor General’s operational audit of the City of Mexico Beach, which identified nine findings. The audit cited significant turnover in key management positions, late filing of required annual financial reports, weaknesses in competitive procurement and purchase approval controls, a duplicate payment on stormwater repairs that was later largely refunded, issues with the city accountant’s contract and IRS classification, IT access control problems, and the lack of fraud-reporting policies. Committee members asked about corrective action, and the Auditor General said a follow-up audit is required by statute within 18 months, with no enforcement authority beyond reporting progress back to the committee. Mayor Rich Wolf and city staff responded that the city had experienced major turnover and was rebuilding its finance and administrative team. He said the city had hired a city administrator, financial director, city clerk, and accounting firm, and was working to create policies, procedures, forms, and review processes to address the findings. Members discussed whether the turnover and hurricane-related workload contributed to the problems, and city officials said some of the larger purchases were storm-related and tied to FEMA or emergency work. The committee then received a staff update on enforcement for local governments that have not filed required financial reports. Staff said 400 entities had been notified, and as of the meeting two counties, 33 municipalities, and 48 special districts still owed reports or audits. The committee adopted a motion to proceed under section 11.42, Florida Statutes, including possible withholding of state funds for municipalities and enforcement actions for special districts, with authority for the chair and vice chair to delay action if new information warranted it. Finally, the committee unanimously directed the Auditor General and OPPAGA to conduct the required 2024-2025 audit of the Department of the Lottery, with the Auditor General handling financial, internal control, and compliance issues and OPPAGA developing operational recommendations. Members also briefly discussed whether the committee had reviewed transportation surtaxes and expressed interest in improving the timeliness and transparency of the audit and enforcement process before adjourning.

Transcript Highlights:

• Once a producer enters the program, they are eligible to receive claim reimbursement payments for 10
• Uh the bio incentive incentive payments.
• Um, once a producer enters the program, they are eligible to receive claim reimbursement payments for
• Um, as of receive a claim reimbursement.
• Um, and in the bill receiving payments.

Bills: HF858 , HF2577 , HF2576

Committee: House Agriculture Finance and Policy

Keywords: bioincentive payments, agriculture, job creation, environmental compliance, financial reporting, waste handling, sewage sludge, PFAS regulation, environment, record retention, fertilizer disposal, pesticide disposal, environmental impact, safety regulations, burning prohibition, 1183, house

Transcript Highlights:

• In the case of reimbursement, parents purchase items and then submit receipts to the service provider
• and are reimbursed.
• like internet service and computer equipment. reimbursement from the state for certain expenses like
• The three providers allocated between 60 and 70% of their payments from ILA for supplemental learning
• their contracted payments.

Committee: House Education

Summary: The committee first approved the January 26 minutes by voice vote, then was reminded to review draft rules in their folders and on their drives, with rules expected to be taken up the following week. The main presentation was from the Office of Performance Evaluations on the Idaho Home Learning Academy (ILA), a district-authorized virtual public charter school based in Malad City that serves students statewide and has grown rapidly since the pandemic. OPE described ILA’s model, including its use of three education service providers, part-time certified teachers, and supplemental learning funds for families to buy curriculum, technology, and enrichment. The report found that ILA students generally lag the state average on standardized tests, though their achievement gaps are similar to other large virtual schools. OPE also said most instruction is asynchronous and parent-led at home, and that many families choose ILA for customization and access to supplemental funds; in a survey, 71% said they would leave ILA if those funds were eliminated. The second part of the presentation focused on virtual school funding. OPE said ILA uses existing state funding formulas in ways that create large discretionary balances, including through staffing, health benefits, and attendance rules, and that it paid $12.5 million in supplemental learning funds through its providers in 2024-25. OPE raised concerns about inconsistent provider policies, limited oversight, and unclear statutory guidance for virtual schools, and recommended clearer rules for supplemental funds and a funding framework tailored to virtual education. Committee members asked about per-student costs, dual enrollment, testing integrity, private providers’ finances, and whether students can use ILA without paying supplemental fees; ILA representatives said the school provides a free base curriculum, follows state testing rules, and is working on improvements and forthcoming legislation to increase accountability and transparency. No formal action was taken beyond approving the minutes.

Transcript Highlights:

• So, grant reimbursements, that's where the districts gets reimbursed for certain projects by federal
• the</c> reimbursements, that's where the reimbursements, that's where the districts<00:21:14.559><c>
• </c> the statutory name is a reimbursement the statutory name is a reimbursement anticipation<00:31:10.559
• </c><00:36:26.880><c> And</c> and vendor payments are due. And and vendor payments are due.
• They will receive the last payment of the adequacy payment in April.

Committee: Senate Education

Keywords: 1191, senate, all

Transcript Highlights:

• </c> in excess given the timing of payments in excess given the timing of payments over<00:37:12.160>
• </c><01:06:15.319><c> so</c> mentioned here is incentive payments so mentioned here is incentive payments
• </c> negotiate in contracts for reimbursement negotiate in contracts for reimbursement through<02:05:
• Oh, we reimburse at $18? Well then why am I doing this?
• </c> upfront vaccine cost delay reimbursement upfront vaccine cost delay reimbursement and<02:37:05.920

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• </c> do is it has the state funding payments do is it has the state funding payments oh<00:29:04.760>
• </c> income taxation as a scholarship payment income taxation as a scholarship payment um<00:33:21.399
• </c> questions about whether those payments questions about whether those payments would<00:34:46.119
• </c> receives the benefit of the EFA payment receives the benefit of the EFA payment can<00:42:53.559
• </c> I'm going to sue the state to reimburse I'm going to sue the state to reimburse me<00:44:57.920>

Keywords: 928, house, all

Summary: The committee held a public hearing on HB 402, a bill to repeal a provision in RSA 194-F:2 stating that Education Freedom Account (EFA) funds “shall not constitute taxable income” to the parent or student. The bill sponsor argued the current language is misleading because the state cannot determine federal tax liability, and said the bill would simply remove inaccurate tax advice from state law. He cited IRS guidance and prior federal legislation, including a Ted Cruz proposal, to suggest some EFA uses may be taxable under federal law, while others may not, and said the bill could be amended if needed to avoid confusion. Testimony was sharply divided. Py Campbell opposed the bill, arguing it would unfairly single out EFA students and could amount to a tax on education funds, including for self-employed families, and recommended it be voted inexpedient to legislate. Stephen Matthew French, a tax preparer, also opposed the bill, saying IRS Publication 970 already makes clear that scholarship-type payments used for tuition and related expenses are not taxable, and that the bill addresses a problem that does not exist. He warned that adding tax reporting requirements could create administrative costs for families and the program administrator. Bill Ardinger, a tax attorney, supported the repeal of the statutory language, saying the state should not place potentially incorrect tax advice into law. He explained that under federal tax law, only certain scholarship-like uses are exempt, while many EFA-eligible expenses may not be, especially for families using the program for homeschooling or other nontraditional expenses. He said the current statute could mislead families into thinking all EFA payments are tax-free and could expose the state to future legal problems. The hearing ended after questions from committee members; no vote or final action was taken in the transcript.

Transcript Highlights:

• networks do not reimburse these costs.
• For example, artificial intelligence has recently... ...not reimburse these costs.
• , efficient payments for consumers and businesses.
• Today, the payments industry is not simply a financial service.
• Payments operate on a national and global network.

Keywords: 995, all

Summary: The commission met for its second hearing to study the future of credit card payments and sales transactions and their impacts on small businesses. Members heard extensive testimony from credit unions, retailers, restaurants, and payment-industry representatives on interchange fees, processing fees, fraud, chargebacks, rewards programs, and the ability of businesses to pass fees on to customers. Several witnesses argued that swipe fees have risen sharply, are especially burdensome for restaurants and other small businesses, and are charged on taxes and tips that are merely pass-through amounts. They urged state action to prohibit fees on tax and tip portions, improve transparency, and allow surcharging or convenience fees, while opponents warned that state regulation could reduce fraud protections, increase compliance costs, and threaten consumer rewards programs. Business owners and trade groups described thin margins, rising costs, and the difficulty of understanding merchant statements or negotiating with processors. Restaurant witnesses said card-not-present and online transactions create the greatest fraud and chargeback risk, with money often removed immediately from merchants’ accounts and disputes rarely resolved in their favor. Retail witnesses gave examples of rising effective rates, higher fees on rewards cards, and the burden of processing fees on low-value transactions. A representative from the Massachusetts Restaurant Association and others said restaurants are effectively paying fees on meals tax and gratuities, which they argued should not be subject to interchange charges. On the other side, the Cooperative Credit Union Association said interchange revenue helps credit unions fund fraud prevention, rapid card replacement, and member protections, and warned that state limits on interchange could weaken those safeguards and lead to higher consumer costs or reduced services. Airlines for America testified that airline credit card rewards are popular, support travel and jobs in Massachusetts, and could be harmed by interchange reform. The National Restaurant Association and a payments-policy attorney countered that interchange fees are set by card networks rather than competitive markets, that banks remain highly profitable even with rewards, and that states can act after recent court decisions. No votes were taken; the hearing consisted of testimony and questions from commissioners.

Transcript Highlights:

• First of all, sections 1 through 7 establish a reimbursement rate for a limited annual number of required
• </c><00:04:42.680><c> rate</c> through 7 establish a reimbursement rate through 7 establish a reimbursement
• currently the three visits reimbursed currently the three visits are<00:05:03.000><c> startup</c><00
• However, there still remains very real needs for addressing reimbursement rates for home care services
• We're reimbursed for those visits no...

Keywords: 1183, house

Transcript Highlights:

• They get a payment, and then they leave and go back home.
• It requires all families to verify continued eligibility prior to each payment.
• And as you'll see, we're talking about a payment cycle of every six weeks.
• It aligns the scholarship payment installments from quarterly to monthly, as I said, and aligns the payments
• a two-month payment on the front end to homeschooling families.

Summary: The Appropriations Committee met for Budget Day and heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper said the plan reduces overall spending from the prior year, keeps strong reserves, includes a 4% pay raise for state employees, maintains employee health care contributions, and makes major investments in water quality, transportation, and education infrastructure. Committee chairs then summarized their budget silos, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and agriculture/environment/general government. Members asked questions mainly about school funding, AP and dual enrollment support, voucher and scholarship impacts, and the My Safe Florida Home program. The committee adopted a large consent package of amendments and then approved three late-file amendments: funding virtual college tours for high school students, funding the FSU Sunshine Genetics program, and providing money for the Port of Fernandina customs facility. The committee then voted to report SPB 2500, the General Appropriations Bill, as a committee bill. It also favorably reported SPB 2502 (implementing bill), SPB 2504 (state employees placeholder), SB 7022 (Florida Retirement System contribution rates and DROP changes), CS/SB 1320 (recreating the Resilient Florida Trust Fund), SPB 2506 (gaming compact revenue distributions, including water projects and rural lands), SPB 2508 (29 new judgeships), SB 7014 (ending the court mediation and arbitration trust fund), SPB 2510 (K-12 conforming bill), SPB 2512 (higher education conforming bill), and SPB 2514 (health and human services conforming bill). The committee also took up several policy bills. It approved SB 7028 on cancer research, creating grant parameters, reporting requirements, a five-year pediatric cancer research incubator, and the Bascom Palmer Eye Institute VisionGen Initiative. It approved CS/CS/SB 170 on nursing home quality, adding resident satisfaction surveys, medical director standards, safety culture reviews, electronic health record requirements, financial reporting penalties, and a study of best practices. It approved CS/CS/SB 168, the Tristan Murphy Act, which expands mental health diversion options, adds Hillsborough County to a forensic hospital diversion pilot, expands grant uses, and creates a behavioral health data repository. It also approved SB 114 creating the Florida Center for Excellence in Insurance and Risk Management at FSU and moving the public hurricane loss model there. The committee then began considering SB 180 on emergency preparedness and response, including a late-file amendment, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• It also clarifies that certain payments to local law enforcement are treated as a reimbursement, not
• It also clarifies<00:04:04.280><c> that</c><00:04:04.440><c> certain</c><00:04:04.720><c> payments</c
• ><00:04:05.120><c> to</c><00:04:05.240><c> local</c> clarifies that certain payments to local clarifies
• </c><00:04:09.040><c> And</c><00:04:09.160><c> it</c> reimbursement, not as a grant.
• And it reimbursement, not as a grant.

Keywords: 1183, house

Transcript Highlights:

• We would like enhanced authority to stop payment on services.
• </c><00:55:34.520><c> but</c> today in law to stop payments but today in law to stop payments but providing
• </c> standards of care and we're reimburse standards of care and we're reimburse for<01:51:03.800><c>
• </c> separate care evaluation reimbursements separate care evaluation reimbursements would<01:51:22.760
• </c> due to Staffing and reimbursement due to Staffing and reimbursement limitations<01:52:07.760><c>

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• These funds are used to reimburse an employer for the cost in excess of workers' compensation received
• As previously discussed, this fund is used to reimburse employers for a full rate of salary for peace
• reimbursements before spending any general fund appropriation.
• payment for one reimbursement claim was held over into fiscal year 2026 due to insufficient fund availability
• And with that... ...come from and where the payments are going out.

Summary: The committee heard budget reviews for the Industrial Commission, the Public Utilities Commission, and the Secretary of State. For the Industrial Commission, analysts and agency staff described the agency’s dedicated funds and FY27 requests, including ongoing support for the IRIS technology system, additional funding for the annual seminar and CWICS training, an increase for the Peace Officer and Detention Officer Temporary Disability Fund due to rising claims, and replacement IT hardware. Members asked about the IRIS maintenance contract, the seminar pricing and audit finding on the miscellaneous revenue fund, and the crime victims compensation program and its general fund support. Agency staff said the IRIS support is still being provided by an outside vendor because OITS is not yet able to assume the work, that seminar and training spending will increase rather than fees being reduced, and that the disability fund increase is ongoing. The committee also discussed concerns that reductions in the crime victims compensation general fund appropriation could affect services, though staff said dedicated and federal funds could help cover shortfalls if needed. The Public Utilities Commission presentation focused on its single utilities regulation program, dedicated funding sources, and FY26 and FY27 budget items. Analysts reviewed the new workload created by the wildfire standard of care law enacted in 2025, which added staff and one-time funding in FY26, and noted a FY27 request for IT hardware. Questions centered on why indirect cost recovery spending was far below the amount budgeted; the administrator said the variance was largely due to timing and the fact that rent was not paid from that fund at the time. A senator praised the commission’s work implementing the wildfire legislation. The Secretary of State budget review covered elections, business services, the Commission on Uniform State Laws, and the Idaho Code Commission. Analysts noted the office’s general fund budget, the large FY24 election system upgrade, and FY27 requests for $350,000 ongoing for a voter pamphlet and guide, a $20,000 ongoing transfer for post-election audit overtime, and replacement technology items; a reappropriation item for a double-filled business director position was later withdrawn. Secretary of State Phil McGrane said the office is handling sharply increased business filings, generating more revenue than its budget and returning excess revenue to the state, but also facing longer processing times. He defended the ongoing voter pamphlet request as tied to recurring election requirements and said the overtime request reflects election-cycle workload. He also said the office is using outside vendor support for election IT, is considering AI tools cautiously, and would not be materially affected if ballot counting methods changed, since counties handle tabulation. The committee ended with procedural remarks about upcoming budget-setting work, a FY26 rescission bill still being processed, and a reminder that alternate motions must be submitted by 5 p.m.

Transcript Highlights:

• They will provide needed funds to ensure that hospitals and providers can receive timely payment and
• from the federal government and requires that any federal reimbursements received be deposited back
• So you're saying that because of the trends that we're seeing right now and the increase in payments,
• Any of this current payment going back to pay that loan that we took out just a month ago?
• And the expectation is that the federal government reimbursements will come in. and fulfill the loan

Committee: House Budget

Keywords: 988, house, all

Transcript Highlights:

• and Eligibility, prioritization, payment practices, and provider participation.
• That wait list is clearly A need to implement co-payments and a wait list.
• New Mexico policies and future seizures that set the reimbursement rate.
• And so there was a request to take out including co-payments in the rate.
• And so there was a request to take out including co-payments in the rate. So, Mr.

Summary: The committee met late in the evening and announced that Senate Bill 132 would be rolled until the next day. The only bill heard was Senate Finance Committee substitute for Senate Bill 241, which would codify New Mexico’s Child Care Assistance Program in statute, establish eligibility, payment, wait-list, and co-payment rules, require reporting and transparency, and tie reimbursement rates to a cost-estimation model and wage scale/career lattice. The sponsor and administration described the bill as creating a durable framework for universal child care, with protections for program integrity, inclusion of children with developmental needs, and requirements to maximize state and federal child care tax benefits. Public testimony was largely supportive of the bill’s child care expansion goals, with endorsements from State Police, firefighters, early childhood advocates, and women’s policy groups, but many providers and educators said they could not support it without stronger wage and career-ladder protections and clearer guarantees that funding would reach staff salaries rather than owners or institutions. The committee adopted Vice Chair Dixon’s amendment, which lowered the proposed transfer from the Early Childhood Education and Care Trust Fund from $1 billion to $700 million and added reporting requirements on the wait list, consultation requirements for rate-setting, additional facility reporting, a prohibition on supplanting certain public education funds, tribal facility participation, and food program reporting. A separate amendment from Representative Duncan to require first-come, first-served enrollment was debated at length but was tabled by a 9-7 vote after the sponsor and secretary said it conflicted with federal prioritization rules and the bill’s targeted access goals. Members also questioned how the bill would affect public entities, nontraditional-hour providers, co-pay triggers, and whether the wage scale would adequately compensate educators. After debate, the committee voted 10-7 to give the amended bill a do-pass recommendation. Supporters said the bill would strengthen workforce stability, improve access for working families, and help sustain New Mexico’s universal child care system; opponents warned about the long-term fiscal impact, the potential growth of the program, and whether the bill sufficiently protected early childhood educators’ wages and other state priorities. The meeting adjourned with notice that the committee would reconvene at 8 a.m. the next day to hear the Senate’s actions on House Bill 2.

Transcript Highlights:

• Darby rulings of the provision of counseling services by certain providers under Medicaid and reimbursement
• HB 1873 by again relating to certain reimbursements and discounts allowed for the collection and payment
• HB 2294 by Thompson relating to the reimbursement rates for childcare providers participating in Texas
• AP 2303 by Bell of Montgomery relating to the electric markets, payments and an exemption sales from
• HB 2369 by Patterson relating to the processes for and the adjudication and payment of certain claims

Transcript Highlights:

• Clothing allowance and it's excluded from reimbursement.
• And so we decided to put the $50 per month into the regular foster payment.
• They get whatever they do for their month; that could include any incidental reimbursements, the monthly
• payment, or whatever else is lumped into one payment.
• I hope we do look at the reimbursement because I know with growing kids, that's really not a whole lot

Summary: The committee met with a quorum and first took up the committee substitute for HB 38, a complex insurance bill concerning coverage for prosthetics, orthotics, and complex rehab technology. The sponsor and expert witness explained that the substitute made technical clarifications across multiple sections of law, including explicit coverage language, restoration of services and supplies, and replacement timing rules to avoid overuse while preserving access when a patient’s medical needs change. They said the changes had been reviewed and supported by the Office of Superintendent of Insurance and insurers, and there was no opposition from the public. Members asked about the need to return the bill to committee because of the number of statutory changes, and the sponsor said the Speaker wanted a clean committee substitute before floor action. The committee adopted the substitute and then approved a do pass recommendation on the committee substitute for HB 38, with no opposition. The committee then heard House Memorial 59, which requests a study of fair compensation for foster parents, including consideration of a cost-of-living allowance, with findings due to the Legislative Health and Human Services Committee by November 30. CYFD testified that the study would likely use a contractor and that the department already has related recruitment, retention, and placement work underway. Members asked about foster parent numbers, foster care plus stipends, Social Security benefits for children in care, and clothing allowances; CYFD explained current payment structures, including a $50 monthly clothing amount built into the rate and separate vouchers in some cases. The committee heard supportive testimony from the New Mexico Child First Network and then voted do pass on HM 59 without opposition. The chair announced there would be no meeting the next day and adjourned the meeting.

Transcript Highlights:

• Towards payments of fines and costs of certain defendants referred to the Committee on Criminal Jurisprudence
• HB 335 by Cortez relating to the payments and reimbursements for non-contracting and contracting, providing
• HB 434 by Lopez XR relating to creating a reimbursement program for reimbursement, certain supplemental
• HB 475 by Johnson relating to Medicaid coverage and reimbursement.
• HB 488 by Johnson relating to Medicaid coverage and reimbursement for functional family therapy.