Transcript Highlights:

• Rather than every AD district creating that, uh, they subcontract that out to the other AD districts
• Rather than every AD district creating that, they subcontract that out to the other AD districts for
• /c><00:26:55.919> they ad district creating that u they ad district creating that u they subcontract
• 26:57.760> to<00:26:58.000> the<00:26:58.240> other<00:26:58.400> ad subcontract
• that out to the other ad subcontract that out to the other ad districts<00:26:59.039> for<00:

Keywords: Meeting Start: 00:00:00 Roll Call 00:00:11 Discussion of County Clerks’ Land Records Update 00:02:42 Discussion of Area Development Districts 00:22:48 Discussion of Legislative Measures 00:50:09 Discussion of Local Taxing Sources 01:02:33 Adjournment 01:29:16, 958, all

Summary: The committee first took up an update from the Kentucky County Clerks Association on the transition to electronic recording and land records modernization. Testimony explained that legislation from the 2021 task force created funding and deadlines for counties to provide online search portals and complete a 30-year property record search, with a later move to a 60-year standard. Speakers said the money has been awarded to counties, but much of the work is still in progress because records must be scanned, indexed, and manually verified. They said only a handful of counties are fully compliant with electronic recording so far, while many are still working through staffing and vendor issues. They also noted that the 60-year standard may ultimately be easier and more efficient to complete than the 30-year standard, and that compliance is expected to improve by next summer. The clerks’ representatives also raised related issues, including deed fraud, the county document storage fee, and KDLA digitization grants. They said online recording can make deed fraud easier to attempt, so they expect to seek legislation next session to address it. They described an existing notification service available in many counties that alerts property owners when a document is recorded, which can help detect suspicious activity quickly. They also said the storage fee and separate county account structure has generally worked well, but that two recent KDLA grant cycles have not released money for clerks, limiting support for digitization work. Another topic was whether, once records are fully digitized and verified, some permanent records should remain publicly accessible or be moved to a safer archive under KDLA control. Members asked about the balance in the KDLA fund, what the General Assembly could do to help lagging counties, and how much of the $25 million modernization funding had been spent. Witnesses said they did not have the current fund balance but would try to get it, that the main obstacle now appears to be staffing rather than additional money, and that the funds have been awarded but not fully expended because work is still ongoing. They emphasized that counties are helping one another and asked members to alert association leadership if any county is struggling. The committee then heard a presentation from Dan London, executive director of the Lincoln Trail Area Development District, who described area development districts as regional staff extensions and technical resources for cities and counties, and highlighted their role in coordinating regional services and partnerships across county lines.

Transcript Highlights:

• people are going to sit at one person, one truck, as they say, one van, or figure out a way how to subcontract
• people are going to sit at one person, one truck, as they say, one van, or figure out a way how to subcontract
• <00:58:43.680> way<00:58:43.839> how<00:58:43.920> to<00:58:44.079> subcontract
• or figure out a way how to subcontract or figure out a way how to subcontract or<00:58:45.079>

Keywords: 1183, house

Summary: The committee’s first official meeting was framed as an informational session, with the chair saying no legislation would be acted on and that testimony would focus on what is working and not working for businesses and workers in Minnesota. The stated topics included earned sick and safe time, paid family and medical leave, labor shortages, and broader business climate concerns. The chair also noted the absence of DFL members and invited questions to be held until the end so testifiers could present fully. Lauren Shodor of the Minnesota Chamber of Commerce argued that Minnesota’s business climate has worsened because of high taxes, rising costs, regulation, and new workplace mandates. She cited chamber survey and research findings saying more businesses are considering leaving the state, that Minnesota companies are investing more in other states than vice versa, and that the state lags national growth rates. She said employers are especially concerned about earned sick and safe time and the upcoming paid family and medical leave program, which the chamber believes add compliance burdens and costs, particularly for small and medium-sized businesses. Matt Hilgart of the Association of Minnesota Counties said the new leave laws affect county budgets and operations because labor is the main county cost and services are often state-mandated. He said the programs were imposed outside the collective bargaining process and can duplicate existing county benefits, increase costs, and create staffing and service challenges. He asked for changes including clearer premium-sharing language, exclusion of elected officials and short-term election workers from paid leave requirements, better exemption and private-plan rules, coordination requirements for intermittent leave, and more clarity for essential employees during weather emergencies. Owen Worth of the League of Minnesota Cities said cities are facing similar implementation problems, with overlapping leave policies and concerns about stacking state and federal leave rules, and he indicated the league would support changes to reduce administrative and budget pressures on cities.

Transcript Highlights:

• These employees are subcontracted through Emory, and they include students that are majoring in and specializing

Keywords: 1136, house, all

Transcript Highlights:

• administrative and accounting expenses, 245D Minnesota licensing compliance costs either through subcontracting
• licensing compliance costs<00:50:42.600> either<00:50:42.880> through<00:50:43.120> subcontracting
• <00:50:44.280> or<00:50:44.640> a costs either through subcontracting or a costs either
• through subcontracting or a direct<00:50:45.120> licensure<00:50:45.640> through<00:50

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• there's a form you got to submit to get approved, and you identify, okay, this is a contract or subcontract
• is a approved and you identify okay this is a contract<00:54:08.960> or<00:54:09.119> subcontract
• that<00:54:09.920> you<00:54:10.079> did<00:54:10.240> the contract or subcontract
• that you did the contract or subcontract that you did the work<00:54:11.119> this<00:54:11.280

Keywords: 910, house, all

Summary: The Act 279 working group met for an informational briefing with DHHL on its use of the $600 million appropriation and progress on the department’s implementation plan. The chair reviewed the working group’s oversight role, noting that it was created to monitor expenditures, project development, and progress toward reducing the Hawaiian Homes waitlist, and that the group must submit a progress report before the 2026 session and a final report before the 2027 session. DHHL said it had provided an updated booklet reflecting the Hawaiian Homes Commission’s February 2024 recommendations and a detailed accounting of encumbrances and project progress across the islands. DHHL highlighted several implementation themes: innovative financing and construction methods, land acquisitions and exchanges, technology, beneficiary services, and partnerships with counties and private entities. The department described a “project lease” model that gives beneficiaries access to a project rather than a specific lot, with options such as turnkey homes, owner-builder, self-help, or rent-to-purchase arrangements depending on financial qualification. Officials said this approach is intended to serve lower-income beneficiaries, expand access for people on the waitlist, and allow beneficiaries to receive support services such as financial literacy and down payment assistance. The department reported that roughly $511 million had been encumbered for infrastructure, about $152.8 million for acquisitions, financing, and beneficiary services, and about $36 million in other covered costs, with about $588.9 million encumbered as of December 31 and about $120 million expected to be spent by that date. Officials said the original implementation plan covered about 2,722 units, while the updated plan projects roughly 6,000 to 7,000 leases and 2,472 lots to be occupied. They also described phase-two needs for additional funding, including projects on Hawaiʻi, Maui, Kauaʻi, and Oʻahu, and said they would need continued legislative support, including possible bonding and private activity bond set-asides, to complete remaining projects. Members discussed the distinction between encumbered and spent funds, and DHHL explained that encumbrances reserve money for specific contracts while construction spending occurs over time through progress payments. The department also showcased examples of innovative projects, including a high-rise project in urban Honolulu financed through a mix of private activity bonds, tax credits, and state funds, and an acquisition-based project in Kapaʻa, Kauaʻi using multiple funding sources. DHHL emphasized partnerships with the City and County of Honolulu and Maui County, and said it is still assessing future projects to keep infrastructure costs manageable and ensure homes are safe and affordable for beneficiaries.

Transcript Highlights:

• Rather than every AD district creating that, they subcontract that out to the other AD districts for
• /c><00:26:59.840> they ad district creating that u they ad district creating that u they subcontract
• 27:01.600> to<00:27:01.919> the<00:27:02.159> other<00:27:02.320> ad subcontract
• that out to the other ad subcontract that out to the other ad districts<00:27:02.960> for<00:

Keywords: 958, all

Summary: The committee first heard an update from representatives of the Kentucky County Clerk’s Association on the transition to electronic recording and land records modernization. They reviewed the 2021 task force work, the legislation and budget funding that followed, and the requirements for county clerks to provide online search portals and complete 30-year property record searches, with a 60-year standard expected next summer. Speakers said most counties are still working through scanning and verification, with only a small number fully complete, and emphasized that verification of records is the main bottleneck because it requires staff time and careful matching of indexes to deeds. They also noted limited vendor availability, differences among counties in what records are already digitized, and that the association and land title attorneys are now working more closely on future “continuous improvement” legislation. The clerks also raised related issues, including concerns about deed fraud as more records become searchable online. They said some counties already offer notification services that alert property owners when a document is recorded, which can help owners respond quickly to suspicious filings. They also discussed the filing document storage fee and KDLA digitization grants, saying the funding structure has generally worked but that two grant cycles have been missed. Another topic was whether, once records are fully digitized and searchable, some permanent records should remain publicly accessible or be moved to a safer archive. In response to committee questions, the witnesses said the remaining delays are less about money than staffing shortages and the need for more manpower to complete verification, and they said they would follow up on the balance in the KDLA fund and other details. The committee then received a presentation from an Area Development District representative, who described the districts as regional, nonpartisan service organizations that help cities and counties pool resources, provide technical assistance, and leverage public and private partnerships. He highlighted examples of regional cooperation, including veterans-directed care and other shared programs, and argued that the districts create efficiencies and economies of scale for local governments and the state. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• Many lead agencies then subcontract with local community-based providers, often referred to as case management
• Prior to the passage of 7089, Florida Statutes 409.99 permitted lead agencies to subcontract services

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• Through this structure, DHCS contracts with AHP, which in turn subcontracts with and funds the 988 crisis
• Through this structure, DHCS contracts with AHP, which in turn subcontracts with and funds the 988 crisis
• These requirements are also outlined in our subcontracts with our 988 crisis centers.

Keywords: 988, house, all

Summary: The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended. The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure. San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding. State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.

Transcript Highlights:

• Through this structure, DHCS contracts with AHP, which in turn subcontracts with and funds the 988 crisis
• Through this structure, DHCS contracts with AHP, which in turn subcontracts with and funds the 988 crisis
• These requirements are also outlined in our subcontracts with our 988 crisis centers.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• , largely contracted out these services to what we call behavioral health organizations, like subcontracting
• They have subcontracted with five regional leads throughout the state.
• They have subcontracted with five regional leads throughout the state.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• , largely contracted out these services to what we call behavioral health organizations, like subcontracting
• They have subcontracted with five regional leads throughout the state.
• They have subcontracted with five regional leads throughout the state.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• If a remediation company was called out, and then they needed to Subcontract out to a subcontractor,

Bills: SB1772, SB1958, SB2010, SB1595, SB1687, SB1684, SB2049, SB1966

Keywords: motor vehicle safety, headlamps, headlights, fog lights, daytime running lights, auxiliary driving lamps, spot lamps, off-road lamps, bicycle lights, bicycle reflectors, vehicle lighting, roadway visibility, low visibility, rain, snow, wipers, night driving, traffic safety, Oklahoma Title 47, vehicle code

Transcript Highlights:

• Because DEQ isn't geographically placed around the state, they're going to subcontract still with the

Bills: HCR3018

Keywords: water rights, wetlands, inundated lands, taxation, property tax, drainage, flooded land, seasonal wetlands, meltwater, navigability, jurisdiction, county tax rolls, agricultural land, soil health, wildlife habitat, environmental regulation, public health, land ownership, riparian, drain and fill

Summary: The Agriculture and Veterans Affairs Committee met with a quorum and first took up House Concurrent Resolution 3018, which was amended to expand a study of wetlands and jurisdictional water issues, including questions about taxing authority over land inundated by water. The committee adopted the amendment and then passed the resolution as amended on a roll call vote, with all members present voting yes or aye. Senator Weston agreed to carry the measure. The committee then considered House Bill 1581, relating to funding for the Native American Tourism Alliance. Senator Marcellais explained an amendment restoring the funding level to $500,000 and adding a 10% tribal match. Members debated the budget impact and the likelihood of the bill surviving in that form. The amendment failed on a 3-3 tie, after which the committee moved to the original House version. That version, with $100,000 total funding and matching requirements, received a 4-2 do pass recommendation and was sent to Appropriations, with Senator Marcellais designated as carrier. The committee also discussed House Bill 1541, which would create a new commission to oversee septic systems, but members indicated a preference for a different approach already moving in the House that would place licensing and oversight under DEQ with health units still handling inspections. No final action was taken on that bill. Finally, the committee reviewed House Bill 1280, a water/drainage-related measure involving voting eligibility for landowners who have not paid assessments, but members raised legal questions and deferred further action. The committee also discussed broader concerns about a chemical-labeling bill and related public emails, then recessed until the call of the chair.

Transcript Highlights:

• Representative Gillman said that, for any of MPCA's office space that has been vacant or open, they had subcontracted
• open<01:26:51.520> uh<01:26:51.679> we<01:26:51.840> have<01:26:52.119> subcontracted
• <01:26:53.119> that<01:26:53.400> out open uh we have subcontracted that out open uh
• we have subcontracted that out to<01:26:54.000> other<01:26:54.400> agencies<01:26:54.840

Bills: HF276, HF413, HF411

Keywords: human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form

Transcript Highlights:

• Additionally, it’s already costing the town administrative time and legal fees to review the grants and subcontracts
• grants<00:41:11.359> and fees to review the grants and fees to review the grants and subcontracts
• 13.000> write<00:41:13.319> checks<00:41:13.599> and<00:41:13.760> hold subcontracts
• write checks and hold subcontracts write checks and hold meetings<00:41:14.480> concerning<00

Keywords: 1191, senate, all

Transcript Highlights:

• because that original prime contract was essentially incorporated by reference into all of the subcontracts
• A lot of times, our members are faced with clauses that are buried in subcontracts and presented as non-negotiable

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• We contract with managing entities here in the state to actually sub out or subcontract with the actual
• We contract with managing entities here in the state to actually sub out or subcontract with the actual

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• I've already described the subcontracting exemption in sections 32 and 36 on page R32, and that also
• just I've already described<00:36:05.200> the<00:36:05.839> um<00:36:06.160> subcontracting
• described the um subcontracting described the um subcontracting exemption<00:36:07.599> in

Keywords: 1183, house

Transcript Highlights:

• And I think if it drives other people out of business or causes them to have to go buy, I guess, subcontracts
• “I guess subcontracts from them to be able to sell this, it's going to affect them.

Keywords: 959, house, all

Transcript Highlights:

• They have also been subcontracting with community Outreach organizations to make sure that the low income

Keywords: 996, all