Transcript Highlights:

• With her support, I accepted medication, engaged consistently in therapy, and began to learn how to process
• withdrawal, I'm making them comfortable, and then I just say, well, now it's on you, or you come for some therapy
• withdrawal, I'm making them comfortable, and then I just say, well, now it's on you, or you come for some therapy
• . and then I just say, well, now it's on you, or you come for some therapy.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• Next month, in July, we'll focus on learning more about alternative therapies, such as psilocybin and
• And before I’d be discharged from the hospital, I’d be assessed by occupational therapy and physical
• therapy.
• a six-week period, where they got inpatient medical management of withdrawal, connected them with therapy

Keywords: 959, house, all

Transcript Highlights:

• , relative to parental alienation, limiting certain prior authorization requirements for physical therapy
• , occupational therapy, and similar rehabilitative services, relative to children’s mental health services
• , relative to parental alienation, limiting certain prior authorization requirements for physical therapy
• , occupational therapy, and similar rehabilitative services, relative to children’s mental health services

Keywords: 1191, senate, all

Transcript Highlights:

• Foster youth have a right to an intact body and to be supported in a range of therapies without invasive
• Foster youth have a right to an intact body and to be supported in a range of therapies without invasive
• Foster youth have a right to an intact body and to be supported in a range of therapies without invasive
• Foster youth have a right to an intact body and to be supported in a range of therapies without invasive

Keywords: 1183, house

Transcript Highlights:

• There's so much more work we can do on reunification therapy, um on those therapists, those trainings
• much more work we can do on on much more work we can do on on reunification<00:14:46.480> therapy
• <00:14:47.600> um<00:14:47.760> on<00:14:48.079> those reunification therapy
• um on those reunification therapy um on those therapists,<00:14:48.959> those<00:14:49.279>

Keywords: 00:00 - Call to Order/Roll Call 01:05 - Discussion of 26RS HB 418 21:23 - Roll Call Vote on 26RS HB 418 22:40 - Discussion of 26RS HB 611 26:00 - Roll Call Vote on 26RS HB 611 26:52 - Discussion of 26RS HB 598 51:25 - Roll Call Vote on 26RS HB 598, 958, all

Summary: The House Standing Committee on Families and Children met to consider three bills. House Bill 418, relating to domestic violence and child custody, was presented by Rep. Neimus with testimony from ZeroV and Greenhouse 17. The bill, as amended by a committee substitute, would require courts to prioritize family violence in custody decisions, create a rebuttable presumption against unsupervised visitation and custody after two or more acts of domestic violence, require certain offenders to complete parenting or intervention programs before unsupervised contact, require training for paid supervised visitation providers and parenting coordinators, and ensure victim advocates are available in protective order hearings. Members discussed the two-incident threshold, the definition of domestic violence under Kentucky law, fiscal impact, and whether the bill adequately addresses severity and context; the bill passed 14-0 with favorable expression. The committee then heard House Bill 611, also on domestic relations, presented by Rep. Dietz with support from ZeroV. The committee substitute would create a 10-year interpersonal protective order upon conviction for certain felony assaults, sexual offenses, and stalking involving family members, unmarried couples, or dating partners, and would expand reporting requirements related to domestic violence data, legal representation in protective order hearings, and child dependency/neglect/family violence data. Testimony emphasized improved tracking of cases and survivor safety. The bill passed the committee 14-0 with favorable expression. Finally, House Bill 598, relating to guardian ad litem and other appointed counsel, was presented by Rep. Dietz with testimony from Kentucky Youth Advocates. The bill, titled the Family Representation and Advocacy Act, would reorganize how legal representation is provided in child welfare cases by creating a Family Representation and Advocacy Commission under the Supreme Court, allowing the department to hire staff attorneys or contract with private attorneys, nonprofits, law school clinics, and social workers, and aiming to improve quality, accountability, compensation, and support. Testimony cited high caseloads, low compensation, attorney turnover, and delays in foster care cases. The committee substitute was adopted, and the bill passed 14-0 with favorable expression.

Transcript Highlights:

• R&D tax credit for an industry like life sciences is absolutely critical to bring through novel therapies
• bring sciences is absolutely critical to bring through<00:46:39.119> novel<00:46:39.440> therapies
• <00:46:39.839> and<00:46:40.160> technologies through novel therapies and technologies
• through novel therapies and technologies that<00:46:41.359> are<00:46:41.520> the<00:46

Keywords: 928, house, all

Summary: The committee met to review tax expenditures, elect a chair and clerk, and hear updates on two credits due for periodic review: the career and technical education (CTE) center tax credit and the research and development (R&D) tax credit. Members first organized the meeting, then heard from Jennifer Ramsey of DRA, who explained the purpose of the tax expenditure review process and summarized the CTE and R&D credits. She said the CTE credit allows donations to CTE centers for a credit against business profits tax, is capped at 25% of a taxpayer’s liability, has a $500,000 aggregate limit, and was extended in SB 98 to fiscal year 2031. She also noted DRA could not provide detailed financial data because of statistical disclosure limits when too few taxpayers claim the credit. Committee members pressed for more historical and aggregate information, arguing they needed numbers to judge whether the credit is effective and worth continuing. The committee then heard from Chrissy Vanderhook of the Department of Education on the CTE credit. She described New Hampshire’s CTE system as serving 26 secondary centers and seven post-secondary centers, with industry partners providing internships, work-based learning, equipment, employee time, and other in-kind support that can qualify for the credit. She said the department reports annually to legislative leaders and that fiscal year 2025 credit activity was down about 48% from FY24, partly due to staffing changes and outreach issues. Members asked whether the program extends to community college-level programs, and she said it can, though she was not sure how broadly it is used that way. The committee also discussed a new Granite Patron of the Arts credit, which DRA said went into effect July 1 and is included in the tax expenditure report even though it is not yet listed in the statute. For the R&D credit, Ramsey explained that it offsets business profits tax and can carry forward to business enterprise tax, is based on incremental research spending, and currently has a $7 million annual aggregate cap. She said the cap has not yet been reached but could require proration as early as fiscal year 2026 if not increased. She noted there were 271 taxpayers claiming the credit in fiscal 2024 and that a proposal last session to raise the cap to $10 million and increase the per-company limit did not advance. Mark Liberty of BEA said the credit is an important recruitment and retention tool, especially for life sciences, aerospace, defense, and advanced manufacturing, but acknowledged BEA does not track direct revenue return. Andrea Hchvaria of New Hampshire Life Sciences argued the R&D credit is critical for startups and cited growth in applicants from 71 in 2008 to 248 in 2024, with qualified wages rising substantially over that period. Committee members repeatedly asked for more objective economic-impact data, but DRA said it only tracks who claimed the credit and the amount claimed, not broader business outcomes.

Transcript Highlights:

• recreational activities for veterans and first responders, and Representative NX Bill supporting equine therapy
• recreational activities for veterans and first responders, and Representative NX Bill supporting equine therapy
• 58.400> equin representative NX Bill supporting equin representative NX Bill supporting equin therapy
• 00.040> um<00:44:00.680> really<00:44:01.440> uh Representative Feist said that therapy

Keywords: 1183, house

Transcript Highlights:

• primary care doctor said, you have chronic pain, did the whole workup, you know, x-rays, MRI, physical therapy
• Uh, and they did family therapy as part of it and took her off all of her opiates.
• So, we kind of stopped that, and she did the work in therapy and struggled, and she got out.
• She and her husband ultimately didn't work it out, although they had some family therapy; it didn't work
• Association and also as the owner of a small group mental health practice in Maple Grove called Degas Therapy

Keywords: 1187, senate, all

Transcript Highlights:

• One is Smart Therapy Center in Minneapolis, and they were given $14 million since 2023, I believe, and
• One is Smart Therapy Center in Minneapolis, and they were given $14 million since 2023, I believe, and
• One is Smart Therapy Center in Minneapolis, and they were given $14 million since 2023, I believe, and
• One is Smart Therapy Center in Minneapolis, and they were given $14 million since 2023, I believe, and
• center in Minneapolis and they therapy center in Minneapolis and they were<01:25:24.480> given

Keywords: 1183, house

Transcript Highlights:

• But the ESA program, through a program called horse equine therapy, helped that child learn how to walk
• diagnosed at the age of two, and since then, his daily life has been a steady stream of doctors, therapies
• little brother by applying for an education savings account for him to help with things such as therapies
• An average parent spends $2,000 in less than six months on any one therapy.
• Families like us already are burdened with medical bills, therapies, and equipment.

Summary: The Senate Committee on Education K-16 convened with a quorum, adopted its committee rules, and heard opening remarks from members introducing staff and outlining priorities for the session. Several senators emphasized support for public education, teacher pay and safety, parental choice, and the combined K-16 jurisdiction of the committee. The chair also reviewed hearing procedures, including public testimony registration and time limits. The main item was Senate Bill 2, the Texas Education Freedom Act, laid out by Chairman Creighton. He described the bill as an education savings account program intended to expand school choice, with a $200 million universal eligibility pool and an additional $800 million targeted to students with disabilities and lower-income families. He said the bill includes anti-fraud safeguards, criminal background checks for vendors, reporting requirements, data protections, and annual testing for participating students, while not imposing STAAR on private schools or homeschoolers. He also said the bill removes a prior hold-harmless provision for public schools and is separate from public school funding and teacher pay legislation. Members questioned the bill’s income threshold, lottery and priority structure, treatment of homeschoolers, microschools, charter schools, religious freedom protections, citizenship/lawful presence language, cybersecurity, open records, and disability-related issues, including whether 504 students and foster children should be included. Creighton said the bill is designed to prioritize former public school students with disabilities or lower incomes, while also allowing universal eligibility within the program’s first funding tier, and that the Comptroller would oversee vendor screening and cybersecurity rules. He said the bill does not direct curriculum or interfere with religious beliefs and that amendments may be offered later on citizenship and other issues. After member questions, the committee began invited testimony, starting with EdChoice representative Robert Inlow, who testified in support of SB 2 and cited national growth in school choice programs and studies he said show positive effects for students and public schools.

Transcript Highlights:

• I cannot support this amendment to exempt cardiac techs from the Medical Imaging and Radiation Therapy
• just as they do to any other medical To exempt cardiac techs from the Medical Imaging and Radiation Therapy

Summary: The Senate convened with prayer and the Pledge of Allegiance, then received committee reports from Banking and Insurance and Judiciary. Several leaves of absence were granted, and the chamber took up calendar and procedural motions, including re-referrals and tabling actions on multiple bills. House Bill 1102 and Senate Bill 911 were re-referred to Appropriations, House Bill 96 and Senate Bill 599 were briefly laid on the table and then returned to the calendar, and House Bill 2400 and Senate Bill 746 were also sent to Appropriations. The Senate later agreed to consider a discharge-related motion on minimum wage, but the motion to make it a special order of business failed by a vote of 23-27. On final passage, Senate Bill 1182 passed 50-0 after Senator Boscola described it as a modernization of the Board of Vehicles Act to address software-based vehicle features, warranty reimbursement, data protections, loaner vehicles, and related dealer/manufacturer issues; she noted amendments had been adopted to address stakeholder concerns. Senate Bill 1334 also passed, 29-21, after the Senate rejected Amendment A44049, which would have exempted certain cardiology technicians from licensing requirements if credentialed and supervised; supporters argued the exemption reflected existing practice and credentialing, while opponents said the bill was needed for patient safety and consistent oversight. Senate Bill 1372 passed 50-0, and House Bill 2426 was re-referred to Appropriations. The latter part of the session focused heavily on minimum wage and budget timing. Senators Tartaglione, Hughes, and Costa argued Pennsylvania had gone 20 years without raising the minimum wage and urged action on a House-passed minimum wage measure, while Senator Pittman said Republicans were willing to “meet in the middle” but opposed the House proposal as written. Members also discussed the state budget, the rainy day fund, and whether the Senate should remain in session; after debate, Senator Pittman’s motion to recess to the call of the President pro tempore was adopted 27-23, and the Senate stood in recess.

Transcript Highlights:

• level, and we're preventing patients from needing to access higher levels of care like long-term therapy
• But not everyone will identify as a trauma survivor or initiate therapy.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• We are at the dawn of the new era in Alzheimer's treatment with FDA-approved disease-modifying therapies
• This bill will position Disease-modifying therapies are offering hope to millions.

Keywords: 995, all

Summary: The Aging and Independence/Elder Affairs Committee heard testimony on several bills, with the main focus on H.769/S.468, an act to improve care and prepare for the new era of Alzheimer’s and dementia. Legislators and advocates described the bill’s provisions, including expanded dementia training for first responders, a dementia services coordinator/director in state government, improved hospital discharge and caregiver access protections, dementia care coordination benefits for certain MassHealth members, public awareness and data collection requirements, and expanded support for geriatric workforce recruitment. Representative Danielle Gregoire and Senator Gomez framed the measure as a zero-cost, bipartisan continuation of the 2018 Alzheimer’s and Dementia Act, while the Alzheimer’s Association, Boston Public Health Commission, police representatives, clinicians, and family caregivers all testified in support, emphasizing public health needs, early diagnosis, caregiver involvement, and safer emergency and hospital care. The committee also heard testimony on H.796/S.476, which would establish an Office of Older Adult Advocate and a special commission on a statewide long-term services and supports benefit program. Representative Steve Ultrino supported an independent older adult advocate to help navigate fragmented state services and improve constituent services, while committee members asked about funding and the office’s relationship to existing secretariats. On the long-term care commission bill, NAFA Massachusetts and LeadingAge Massachusetts supported creating a stakeholder commission to review actuarial findings and explore public-private financing options for long-term care, stressing that neither public nor private coverage alone is sufficient and that middle-income families need more planning tools and options. The committee also took testimony on H.786/S.466, a bill to protect vulnerable elders by expanding the Executive Office of Elder Affairs’ authority to investigate abuse or neglect in non-traditional custodial settings such as prisons, jails, shelters, group homes, and certain treatment facilities. Prisoners Legal Services said the bill would close a jurisdictional gap that leaves some older adults without an investigative agency once they age out of DPPC coverage. No votes were taken during the hearing, and the meeting ended with a motion to adjourn.

Transcript Highlights:

• of counseling availability—essentially higher billable hours—because we wanted the level of trauma therapy
• counseling availability, essentially higher billable hours, because we wanted the level of trauma therapy

Bills: SB1216, SB1391, SB1493, SB1520

Keywords: trauma, public safety, counseling, mental health, employee benefits, law enforcement, stress management, suicide prevention, workforce readiness, disciplinary action, appeals, termination, superior court, investigative process, reinstatement, immigration, data sharing, federal government, undocumented immigrants, visa overstays

Summary: The Committee on Public Safety and Law Enforcement heard several bills related to public safety personnel. SB 1520, which would have required state agencies to share certain immigration-related data with the federal government and sunset in 2029, was set aside after a proposed strike-everything amendment was defeated. The committee then voted 7-5 to give the underlying bill a do pass recommendation. SB 1216, which removes the sunset from traumatic event counseling programs for peace officers, firefighters, and 911 dispatchers and expands eligibility to crime scene and digital forensics technicians, drew support from police and fire representatives and passed 12-1 with a do pass recommendation. SB 1391 would create an AZ POST-administered law enforcement stress management pilot program, funded with a $950,000 general fund appropriation and operated through one Arizona nonprofit. The sponsor described it as a preventive, peer-support-focused program, but several members objected that the bill was overly prescriptive and looked like a vendor-specific measure. The committee voted 5-7 against giving SB 1391 a do pass recommendation. SB 1493, as amended, would require employers to pay taxable costs, attorney fees, and expert fees when a law enforcement officer who was terminated without just cause prevails through the administrative appeal process and then in Superior Court after the employer refuses reinstatement. Supporters argued it was a fairness and due process measure for rare cases where officers must litigate twice to be reinstated. After adopting a chairman’s amendment, the committee approved SB 1493 as amended with a due pass recommendation by an 8-3 vote, with one member changing from yes to no before the final tally.

Transcript Highlights:

• We were juggling therapies, behaviors, medical appointments, and a constant state of uncertainty.
• We were juggling therapies, behaviors, medical appointments, and a constant state of uncertainty.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• So perhaps the child qualifies for speech therapy or physical therapy or something at the facility.

Keywords: 1204, all

Summary: The committee met in a workshop-style discussion with Arkansas Department of Education early childhood officials to review the state’s early learning programs, especially ABC and SRA/CCDF, and to consider long-term sustainability, access, and quality. Officials said ABC funding was flat at $11 million from 2009-2010 until a $3 million increase in 2018, while CCDF/SRA funding is about $137 million. They reported ABC serves about 23,000 children, SRA about 14,871, and the SRA wait list has grown to 2,971 children, with breakdowns by age provided during the meeting. They also said the current ABC per-child cost is about $5,105, compared with roughly $8,000 in K-12, and that a new market-rate/cost-of-care study is due because the last one was about three years ago. Members raised concerns about rural and urban access, provider deserts, school-based versus community-based slots, and whether the state should expand or rebalance funding to better support infant-toddler care and mixed delivery. Officials said they are working on identifying gaps, moving slots where possible, and using local leads and quality measures such as CLASS observations to improve kindergarten readiness. They also discussed the transition of federal pre-K funding ending at the end of June, with children either moving into ABC or requalifying for SRA, but without grandfathering beyond bypassing the wait list if already enrolled. A major topic was the impact of new co-pays and funding reductions on families and providers. Officials said the state had to make changes to preserve the programs, and that paying based on enrollment rather than allocated slots saved about $576,000. They also said eight providers cited funding as the reason for closing, while 26 new providers were added under the new rates. Members questioned dual enrollment in home visiting/HIPPY and ABC, and officials said about 1,200 children are dually enrolled, with a possible savings of about $2.4 million if that practice were limited, though members cautioned about unintended consequences for children with developmental needs. The meeting ended with agreement to continue regular updates and further work on simplifying and stabilizing the early childhood system.

Transcript Highlights:

• osteopathy, advanced nursing practice, doctor of dental surgery, pharmacy, psychology, occupational therapy
• , physical therapy, social worker, dental medicine, or as a physician assistant.

Keywords: 996, all

Transcript Highlights:

• therapist, who works with the primary care doctor and follows along with the patient, may do brief therapy
• practitioner, maybe a psychologist, making treatment recommendations, medication recommendations, therapy

Keywords: 00:00 - Call to Order/Roll Call 02:05 - Discussion of 26RS HB 178 14:05 - Roll Call Vote on 26RS HB 178 15:05 - Discussion of 26RS HB 280 20:00 - Roll Call Vote on 26RS HB 280 22:00 - Discussion of 26RS HJR 24 24:30 - Roll Call Vote on 26RS HJR 24 26:00 - Adjournment, 958, all

Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.

Transcript Highlights:

• THE END OF THAT PROCESS THAT I WANTED TO MENTION IF IT'S OKAY WE VALIDATE OUR RECORDS WHEN IT IS A THERAPY
• WE HAVE THE PARENTS, EVERY ITEM HAS TO BE EITHER THERAPY RELATED AND REQUIRED THROUGH THEIR THERAPIST

Transcript Highlights:

• We match them up with the right therapy. And thank you for that response.
• So it depends on the youth and what they are seeing we match them up with the right therapy.

Summary: The committee met for an interim appropriations presentation hearing focused on justice administration agencies. Members heard budget requests from the State Attorney’s Office, Public Defenders, the Justice Administrative Commission, Regional Conflict Counsel, Capital Collateral Regional Counsel, and the Guardian ad Litem Office, followed by a presentation from the Department of Juvenile Justice and a brief public comment from a nonprofit advocate. The chair noted that presentations from the Department of Law Enforcement and the Commission on Offender Review would be moved to a later meeting. The state attorney requested funding to true up underfunded circuits under the existing formula, staff 14 new criminal judgeships, replace declining VOCA victim-services funding with general revenue, and cover a projected due process shortfall. The public defender asked for a higher starting salary for assistant public defenders, funding to restore balance in circuits where public defenders lag behind state attorneys, and staffing for new criminal judgeships. Regional conflict counsel and capital collateral regional counsel also sought salary adjustments, additional attorneys and case costs, and competitive area differential funding to address recruitment and retention issues. The Justice Administrative Commission requested funding for Florida PALM readiness and implementation and for IT hardware and software replacement; it also relayed a clerks’ request for reimbursement related to injunctions for protection, Baker Act, Marchman Act, and sexually violent predator cases. The Guardian ad Litem Office said it now has a guardian ad litem for every child in Florida and requested salary increases for senior and managing attorneys to reduce turnover. The Department of Juvenile Justice presented a much larger budget request to expand residential and detention capacity, increase per diem rates, renovate and replace aging facilities, fund the Broward detention center rebuild, improve cybersecurity and the juvenile information system, and cover rising lease costs. Members asked questions about staffing, compensation, detention and residential treatment needs, mental health and substance-use services, and the Broward project timeline. A nonprofit advocate then asked for better data collection on protection orders and related court actions to support funding for domestic violence and recovery services. The committee adjourned without taking any formal votes on the budget requests.