Transcript Highlights:

• I have a list of members with questions, but in Section 2.5, it states that the state controller shall
• for parking lot improvements, which is a security issue, and then also to address other erosion, control
• question, I have a list of members with questions, but in Section 2.5, it states that the state controller
• The bill also requires coverage of medication administration to treat substance use disorder.
• I'm sorry, $750,000 to the Center for the Application of Substance Abuse Technologies at the University

Bills: SB6, SB62, SB74, SB90, SB104, SB119, SB132, SB133, SB135, SB182, SB185, SB193, SB207, SB217, SB229, SB233, SB260, SB262, SB280, SB281, SB300, SB306, SB378, SB382, SB393, SB403, SB422, SB427, SB431, SB434, SB442, SB452, SB456, SB468, SB472, SB487, SB503, SB6

Keywords: cloud seeding, Nevada, water conservation, agriculture, Desert Research Institute, victim compensation, hate crimes, property remediation, criminal justice, vulnerable persons, elections, voter registration, mail ballots, candidate eligibility, cybersecurity, education funding, teacher grants, classroom supplies, instructional support, specialized personnel

Transcript Highlights:

• The administration itself is requesting that Control Section 90 be added to authorize the Department
• These augmentations will be within the cumulative total of the $2.5 billion authorized in Control Sections
• then just on the reporting requirements that the LAO recommended for Section 90 and then also for Control
• funding through 2027-28 for the design and construction of critical fire alarm replacements at the Substance
• It's led by the Department of Cannabis Control, but since BSC administers the grant, it's in their finance

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• The fund will be awarded to programs focused on decreasing violence, gun violence, alcohol and substance
• If the nonprofit focuses on gun violence, alcohol and substance abuse, gang violence, then they would
• Some teenagers, they haven't learned how to control their anger, for example.
• It is out of control in our state and in our country. I'm just gonna stay in our state.
• you're making some sounds like positive changes to the code, but if we've got this, we didn't have control

Transcript Highlights:

• I think those are state laws that we control.
• Things are happening that we have little control over, and it's just what can we control?
• So I really appreciate the opportunity... ...have little control over, and it's just what can we control
• substance.
• , and control both their adult and child victims.

Keywords: 995, all

Summary: The committee heard extensive testimony on several Judiciary bills, with the largest portion focused on S. 1178/H. 2052 to reduce mass incarceration and end life without parole. People incarcerated at MCI Framingham, MCI Norfolk, and NCCI Gardner described personal growth, rehabilitation, restorative justice work, family separation, and the belief that parole eligibility after long sentences would better reflect public safety and human development. Speakers emphasized that life without parole removes hope and can undermine rehabilitation, while supporters argued that many lifers are older, less likely to reoffend, and could contribute positively if given a chance at parole review. Committee members did not take votes during the hearing. The committee also heard testimony on S. 1139 to restore the statute of limitations for wrongful death claims involving tobacco use, with Sen. Keenan explaining that a recent SJC decision had cut off claims where the injured person did not sue within three years before death. He said the bill would restore families’ ability to seek redress in cases involving long-latency tobacco harms like COPD. Another major topic was S. 1205, which would add abusive litigation to the definition of coercive control in domestic violence law; Sen. Michael Moore said the bill would stop abusers from using repeated court filings to harass and financially burden survivors. The committee also took up S. 1114 on automatic record sealing, with Sen. Friedman and others arguing that the current petition-based process is slow, burdensome, and disproportionately harms people with criminal records, especially Black and Latino residents. Testimony also supported H. 1965/S. 1132 on compensation for wrongful conviction, with advocates and sponsors describing a faster administrative claims process, transitional support, and higher compensation without the current cap. Sen. Payano testified for S. 1241 to expand educational programming for incarcerated emerging adults, saying education reduces recidivism and improves reentry outcomes. A substantial portion of the hearing focused on S. 2522, an update to Massachusetts’ shield law for reproductive and gender-affirming care. Sen. Friedman, the Attorney General’s office, and DPH Commissioner Robbie Goldstein said the bill is needed to strengthen protections against out-of-state legal attacks, protect patient and provider data, clarify enforcement authority, and add a state-level EMTALA-style emergency care requirement. Committee members asked detailed questions about prescription labeling, the prescription monitoring program, attorney discipline, custody and full faith and credit issues, and whether the bill’s enforcement language could create unintended limits or conflicts. The Attorney General’s office said it would provide follow-up written testimony on several technical questions.

Transcript Highlights:

• Think about CASPER for reporting prescriptions for controlled substances.
• <00:09:12.080> substances.
• prescriptions for controlled substances. prescriptions for controlled substances.
• <02:30:28.080> There's of a substance use disorder. There's of a substance use disorder.
• families with substance use disorders. families with substance use disorders.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:17 - Approval of June 18, 2025 Minutes 00:02:33 - Introductions and Discussion on Priorities 00:07:27 - Health Data Discussion-KY Health Information Exchange (KHIE) 00:34:02 - Health Data Discussion-Public Health Data 01:19:24 - Health Data Discussion-Other Health Data Platforms 01:42:40 - Consideration of Referred Administrative Regulations (Except 201 KAR 005:010) 01:44:48 - Discussion of Optometry Regulation 201 KAR 005:010 02:25:29 - Hearing on Unified Community Mental Health and Substance Abuse Prevention and Treatment Block Grant Application for FFY 2026 - 2027 Funds 02:33:40 - Administrative Regulation 201 KAR 005:010 Vote Clarification 02:34:03 - Adjournment, 958, all

Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• struggling with behavioral<00:03:15.120> health<00:03:15.360> and<00:03:15.599> substance
• <00:03:16.000> use behavioral health and substance use behavioral health and substance use
• The controller of the House may continue to deduct from the check of any legislator or employee a sum
• The<01:00:25.520> controller<01:00:26.000> of<01:00:26.160> the<01:00:26.319>
• The controller of the House may continue to<01:00:27.359> deduct<01:00:27.760> from<01

Keywords: 1183, house

Transcript Highlights:

• President, I rise in support of Senate Bill 1352, which would allow qualifying substance use disorder
• I rise in support of Senate Bill 1352, which would allow qualifying substance use disorder treatment
• Sadly, the effects of H.R. 1 are at this General Assembly's control, but we can do this to mitigate the
• There comes a time when there are things that are beyond our control.

Summary: The Senate convened with prayer by Senator Anthony H. Williams and the Pledge of Allegiance, then received gubernatorial communications and a long list of newly referred Senate and House bills and resolutions. The chamber approved the April 22, 2026 journal by a 49-0 vote. Senators also introduced guests, including a high school senior advisory council visiting with Senator Malone and a young guest welcomed by Senator Costa. On the floor, several bills were taken up and either set aside or advanced. Senate Bill 1377 and Senate Bill 482 were re-referred to Appropriations, Senate Bill 906 was re-referred to Rules and Executive Nominations, and Senate Bills 1133, 1334, and 1368 were also sent to Appropriations. Senator Dush requested a conflict-of-interest ruling on an amendment to Senate Bill 469; the chair ruled no conflict existed and required him to vote, and the amendment was adopted. The Senate also took Senate Bill 127 from the table and placed it on the calendar. The Senate then considered Supplemental Calendar Number One. Senate Bill 362 received a technical amendment and was advanced; Senate Bill 1183 passed 50-0; Senate Bill 1352, which would allow qualifying substance use disorder treatment providers to receive two-year licenses, passed 45-5 after supportive remarks from Senators Brooks, Tartaglione, and Street; and House Bill 1877, codifying the Pennsylvania seal of biliteracy, passed 50-0 after Senator Lindsey Williams described its student-led origins. The session ended with committee announcements for the next day and Senator Tartaglione’s petition urging a floor vote on the House-passed minimum wage bill, House Bill 2189.

Transcript Highlights:

• <00:16:23.120> has<00:16:23.400> the<00:16:23.520> full<00:16:23.760> control
• ,<00:16:24.560> and<00:16:24.760> it's So CMS has the full control, and it's not just
• First up, Uniform Controlled Substance Act drug paraphernalia relating to health.
• First<00:18:12.880> up,<00:18:13.120> Uniform<00:18:13.960> Controlled<00:18:14.480
• > Substance First up, Uniform Controlled Substance First up, Uniform Controlled Substance Act<

Keywords: 912, senate, all

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.

Transcript Highlights:

• That's soup to nuts to bed, medical, education, substance use treatment, everything.
• <00:21:32.159> So substance use treatment, everything.
• So substance use treatment, everything.
• That we can't control. But we do not allow them to house other inmates with our inmates.
• That we can't control. But Right. Right. That we can't control.

Keywords: 912, senate, all

Summary: The joint committees heard three resolutions first. STR 32/SR 18 asked the Department of Corrections and Rehabilitation to work with the Department of Transportation to use inmate work furlough programs for state roadway and highway maintenance. Testimony was generally supportive of the intent, but the Correctional System Oversight Commission raised concerns about using work furlough for maintenance and emphasized that participants should be paid at least minimum wage, be able to meet restitution and support obligations, and not have their release timing affected. The measures were later recommended and adopted by both committees with no amendments in the joint portion. STR 199/SR 179 concerned increased caution regarding foreign infrastructure. There was no public testimony. In decision-making, the committees split the measures: STR 199 was deferred because of a similar measure, while SR 179 was passed with amendments. The amendments were described as clarifying Hawaii’s goals of self-sufficiency, local self-reliance, and self-determination, and encouraging scrutiny by departments and agencies to reduce dependence on imports. STR 231/SR 207, which would direct DOT to install electronic equipment at state airports and harbors to scan for illegal fireworks, drew mixed testimony, including support from the Oahu Filipino Community Council and comments from Matson Navigation. DOT said it supported the intent. The committees adopted amendments to address Matson’s concerns by moving inspections to a place outside the immediate loading and unloading area, and both committees passed the measures as amended. The Public Safety and Military Affairs committee then took up additional resolutions. STR 113/SR 94, designating Hawaii as a Purple Heart state on August 7, 2025, received no testimony and was not discussed further. STR 204/SR 164, asking the Department of Law Enforcement for information on disposal, detonation, and destruction of explosive fireworks and similar hazardous materials, also drew no testimony in the excerpt. STR 107/SR 88, urging military branches in Hawaii to provide hurricane-resistant shelters for active and retired personnel and families, likewise received no testimony. STR 148/SR 119, supporting construction of a floating dry dock at Pearl Harbor, drew broad support from industry, military, and state economic development representatives. STR 149/SR 120, creating a vegetation management working group to address wildfire risk, received extensive testimony in support and comments, with speakers from DCCA, PUC, Hawaiian Electric, IBW 1260, Hawaiʻi Telecom, and Kamehameha Schools discussing wildfire hazards, responsibility for vegetation near utility infrastructure, and the need to include workers and landowners in the process. STR 126/SR 105, calling for an incremental reduction in the number of inmates housed in private out-of-state facilities, prompted a lengthy discussion with DCR. The director said Hawaii’s out-of-state incarceration is driven by overcrowding and security needs, not a quota, described the per-person-per-day cost of CoreCivic housing, noted that Hawaii pays about $96 per inmate per day out of state versus about $37 in-state, and said the department is working on a master plan and future facility needs. The committee also discussed the need for a new prison and possibly a new jail. The excerpt ends with the committee still in discussion, without showing a final vote on STR 126/SR 105.

Transcript Highlights:

• abuse disorder, yet just 25% of those inmates engaged in substance abuse treatment, and of those who
• <00:07:04.840> abuse those inmates engaged in substance abuse those inmates engaged in substance
• abuse disorder, yet just 25% of those inmates engaged in substance abuse treatment, and of those who
• substance crimes where the offender is not eligible for release until serving the full sentence.
• Reports indicate that up to 87% of those under correctional control are under community supervision and

Keywords: 1183, house

Transcript Highlights:

• the trial courts, $5 million to support our homeless shelter workforce needs, and $2.5 million for substance
• addiction services. to support our homeless shelter workforce needs, $2.5 million for substance addiction
• Control. Have all members voted who wished to do so? Have all members voted who wish to do so?
• in part recommending that, notwithstanding the actions of the Governor, item 4512-0200, Bureau of Substance

Keywords: 995, all

Summary: The House first took up several procedural orders extending reporting deadlines for the Committees on Advanced Information Technology, the Internet and Cybersecurity; Health Care Financing; and Public Health. All three orders were adopted after suspension of the rules. The chamber also concurred in Senate petitions referred under Joint Rule 12, including proposals on cosmetology license reciprocity, judicial and clerical matters, retirement pension notarizations, and automated curb enforcement. The House then suspended Joint Rule 12 for additional petitions on Medicaid coverage for autism treatment and assistive technologies and on a gubernatorial proclamation for Lobular Breast Cancer Awareness Day. The House passed to be enacted two local bills: House 2320, establishing an appointed treasurer-collector in Berkeley, and House 4136, further regulating stabilization funds in Leicester. It also ordered several bills to a third reading, including measures on employment discrimination based on legal cannabis use, the role of the governor’s council on the ballot, absentee voting, ballot uniformity and election ballots, changing Chicopee’s mayoral term from two years to four, and regulating employer use of credit reports. Later, the House accepted and adopted a gubernatorial amendment to the FY2026 appropriations bill related to vital statistics. The bulk of the session focused on FY2026 budget veto overrides. The House considered and approved multiple Ways and Means recommendations to let appropriations stand notwithstanding the Governor’s vetoes, including items for administrative staff in the trial courts, state parks and recreation, nursing facility rate add-ons, community services for the blind, substance addiction services, early intervention services, Korea Technical Institutes, the Massachusetts Manufacturing Extension Partnership, shelter workforce assistance, housing services and counseling, regional economic development grants, charter school reimbursement, and the Tufts School of Veterinary Medicine program. Roll call votes on these items generally passed by wide margins. The House also observed moments of silence for Bolton Police Chief Amos Luke Hamburger and former Senator Edward J. Kennedy Jr., and then adopted an order to adjourn to meet the next day at 11 a.m. before adjourning.

Transcript Highlights:

• So this makes clear that manufacturers of other substances, ...or by legislative rule.
• But there is evidence of health harms related to all of those substances.
• You would have to speak to the bill sponsor as to why those particular substances were chosen.
• health concerns with other substances, but they may not have as readily available substitutes.
• I can't control what somebody posts on Facebook, and I can't control what all the media reports either

Keywords: 994, senate, all

Summary: The committee first approved the minutes and then took up House Bill 4852, a strike-and-insert bill revising West Virginia’s food additive restrictions. Counsel explained that it moved the existing additive list into a new code section, kept the 2028 effective date, added exceptions for dietary supplements, alcoholic liquor, non-intoxicating beer, and small sellers under $5,000 per month, and created civil penalties for knowing violations. Testimony split between industry witnesses, who argued the bill and last year’s law would raise costs, burden interstate commerce, and conflict with federal regulation, and advocates who said the law is already prompting companies to reformulate and that the bill clarifies vague language tied to a federal injunction. Several amendments were offered to tie the law to FDA action or exempt soda, pepperoni rolls, frozen confections, and snack foods; some were adopted and others failed. The committee then adopted the strike-and-insert amendment as amended and reported HB 4852 to the full Senate with a do-pass recommendation. The committee next considered House Bill 5484, which creates felony offenses for interfering with a victim’s access to medical treatment or forensic care related to a sexual offense, or for forcing a victim of a sexual offense who becomes pregnant to have an illegal abortion, along with a conspiracy offense. Counsel said the strike-and-insert added clarifying language and definitions. Members raised concerns that the conspiracy language could be read to include the victim herself, and the bill sponsor said the intent was to target traffickers and abusers who keep victims from medical care and force abortions outside medical facilities. An amendment was adopted clarifying that nothing in the subsection imposes criminal liability on the victim of the sexual offense. The committee then adopted the strike-and-insert amendment, reported HB 5484 to the full Senate with a do-pass recommendation, and adopted a title amendment. The final bill discussed in the excerpt was House Bill 4468, which narrows confidentiality protections for victims in criminal complaints by limiting redaction to names and addresses, while still allowing disclosure to other governmental entities and permitting victims to request redaction of addresses from appellate decisions after July 1, 2026. Counsel said the bill would replace broader existing confidentiality language and remove provisions allowing disclosure upon a showing of justice or by subpoena. Members questioned whether the change would weaken victim privacy protections, noting that identifying information can include much more than names and addresses. The committee then began hearing testimony from a county prosecutor on the bill, but the excerpt ends before any vote or final action on HB 4468.

Transcript Highlights:

• There can be rigidity, anger, abuse, neglect, or substance problems.
• There can be rigidity, anger, abuse, neglect, or substance problems.
• There can be rigidity, anger, abuse, neglect, or substance problems.
• This is simply an extension of fear and control. Teachers' jobs are hard enough.
• <02:28:47.279> that performance enhancing substances that performance enhancing substances

Keywords: 1191, senate, all

Transcript Highlights:

• commercial purposes the private information of more than 100,000 consumers, households, or devices, or control
• Trey of the House and Hall of the Senate, an act relating to the Department of Mental Health and Substance
• Abuse Services. ...relating to the Department of Mental Health and Substance Abuse Services.
• Members, House Bill 2786 is a supplemental funding request to the Department of Mental Health and Substance
• Trey of the House and Hall of the Senate, an act relating to the Department of Mental Health and Substance

Keywords: 914, all

Transcript Highlights:

• Moving on to the PCA, the Pollution Control Agency.
• Then moving on to the PCA, the Pollution Control Agency.
• Then moving on to the PCA, the Pollution Control Agency.
• <00:14:56.040> statutes um the water pollution control statutes um the water pollution control
• <00:31:22.080> pollutants<00:31:22.600> and<00:31:22.880> contaminants substances

Keywords: 1183, house

Summary: The committee met for an organizational hearing of the Environment and Natural Resources Policy and Finance Committee. Members and staff introduced themselves, with several legislators noting their backgrounds in farming, mining, water management, and outdoor recreation, and the chair reviewed draft committee rules emphasizing decorum, quorum, timely starts, and submitting bill hearing requests to the committee administrator. The committee also heard from nonpartisan staff and caucus staff who will support the committee this session. House Research and House Fiscal staff then provided an overview of the committee’s jurisdiction and the major agencies and programs it oversees. The presentation covered the Department of Natural Resources, Pollution Control Agency, Environmental Quality Board, Board of Water and Soil Resources, Metropolitan Council regional parks and water resources, Conservation Corps of Minnesota, Minnesota Zoological Board, Science Museum of Minnesota, and the Legislative-Citizen Commission on Minnesota Resources. Staff summarized the main statutory chapters and subject areas under each, including wildlife, state lands, mining, water use, air and water permitting, environmental review, wetlands, drainage, and natural resources funding. The finance portion explained the committee’s appropriation types and major funding sources, including direct, statutory, and open appropriations. Staff highlighted the general fund, bonding, the Environment and Natural Resources Trust Fund, the Game and Fish Fund, and the Heritage Enhancement Account, along with how those dollars are typically used for parks and trails, habitat, land acquisition, flood and drainage projects, and agency operations. Members also discussed whether DNR and BWSR responsibilities in overlapping water statutes can conflict; staff said responsibilities are generally clear in statute, though conflicts can occur and are usually resolved.

Transcript Highlights:

• That could be anything from substance abuse, mental health, employment, education, etc.
• <01:44:48.159> abuse could be anything from substance abuse could be anything from substance
• <01:48:06.159> abuse health and substance abuse health and substance abuse challenges<01:48
• <01:48:23.679> abuse to mental health and substance abuse to mental health and substance abuse
• targeted interventions such as substance targeted interventions such as substance abuse<01:53:20.000

Keywords: 1187, senate, all

Transcript Highlights:

• So, that's what we can control.
• So, this is sort of out of our control.
• this sort of out of our control. this sort of out of our control.
• They are among our substance abuse.
• People illness, substance abuse, etc.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• And that's the substance of this bill.
• It that's the substance of this bill.
• So that's the substance of the bill. So that's the substance of the bill.
• inert substance inert substance uh<00:24:53.360> after<00:24:53.720> it<00:24:53.880
• premium in terms of what you can control premium in terms of what you can control what<01:56:58.880

Keywords: 1191, senate, all

Transcript Highlights:

• Members, next we have from 10 to 11 is the Department of Mental Health and Substance Abuse Services.
• So when we're doing this today with the Department of Mental Health and Substance Abuse, let's make sure
• The Department of Mental Health and Substance Abuse Services basically does three main functions.
• So we've been trying to build internal controls.
• She was at DHS prior to... the Department of Mental Health and Substance Abuse Services, so she knows

Keywords: 914, all

Transcript Highlights:

• The bill also strengthens program quality controls and transparency.
• A director is not subject to discipline for anything outside his or her immediate control.
• We're setting in a whole mechanism, not just holding the directors under control, responsible for what
• they have under their control, but the bill sets up a whole process, including the preceptorships, that
• , depression, or pain, and my diabetes is now diet controlled.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.