Transcript Highlights:

• And, in the interest of time, Dr.
• So what are those waiting times?
• So what are those waiting times?
• So what are those waiting times?
• for waiting times.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• There's no time for rational thinking by the consumer.
• <00:19:17.200> The a much longer period of time. The a much longer period of time.
• time.
• time.
• time.

Keywords: 926, house, all

Summary: The House opened with a devotional reading by Theo Novak, a student and Vermont Poetry Out Loud finalist, followed by several announcements, including a welcome for the guest speaker and a reminder about a freshman legislator gathering and the day’s corporate cup road closures. The House then postponed action for one legislative day on Senate Bill 208, relating to law enforcement identification; Senate Bill 212, relating to portable water supply and wastewater system connections; and House Bill 639, relating to genetic data privacy. The main floor action centered on House Bill 648, banking, insurance, and securities. The Commerce and Economic Development Committee presented Senate amendments and its own further amendments, including clarifications to consumer reinvestment reporting and a proposal to extend and then effectively end the moratorium on new cryptocurrency kiosks in Vermont. The committee described extensive testimony and data on crypto kiosk fraud, money laundering, and consumer losses, and also added a new licensing framework for merchant cash advance providers. Ways and Means reported the fiscal impact would be very small. After a brief question about the $1 million exemption threshold for commercial financing, the House concurred in the Senate proposal of amendment with further amendment thereto. The House also passed Senate Bill 243, distributing funds to the Vermont Language Justice Project, in concurrence with proposal of amendment. It then took up Senate Bill 198, regulating tobacco products and tobacco substitutes. The Commerce and Economic Development Committee described updates to the definition of tobacco substitutes, creation of a wholesale licensing system under the Department of Liquor and Lottery, tighter controls on online sales, and bans on deceptive products that resemble school supplies, food, smartphones, inhalers, or video games. The committee heard testimony from health, enforcement, industry, and advocacy witnesses and voted 11-0 in favor. Human Services then proposed a strike-all amendment to the committee report, with further consideration to continue.

Transcript Highlights:

• At this time I'd like to yield As much time as he may consume to Mr.
• At this time I would like to yield as much time as he may consume to Mr.
• At this time I'd like to yield as much time as he may consume to Mr.
• At this time I would like to yield as much time as he may consume to Mr.
• AT THIS TIME I WOULD LIKE TO YIELD AS MUCH TIME AS HE MAY CONSUME TO MR.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 24, 2025, 1012, house, all

Transcript Highlights:

• There's a lot of things that<00:11:55.120> it's<00:11:55.360> time<00:11:55.519> for
• time, and we see this as a real mechanism to establishing options for young people to engage in out-of-school-time
• Um, being raised in a world of technology and screen time and social media is just such a different perspective
• <00:29:08.960> time<00:29:09.279> and world of technology and screen time and world
• of technology and screen time and social<00:29:09.840> media<00:29:10.799> that<00:29:

Keywords: 00:00 - Call to Order/Roll Call 01:10 - Discussion of 26RS HB 669 08:25 - Roll Call Vote on 26RS HB 669 09:25 - Discussion of 26RS HCR 36 13:15 - Roll Call Vote on 26RS HCR 36 14:05 - Discussion of 26RS HB 686 29:20 - Roll Call Vote on 26RS HB 686 30:10 - Adjournment, 958, all

Summary: The House Standing Committee on Families and Children met and first adopted a House committee substitute for House Bill 669, which would protect federal benefits belonging to children in out-of-home care. The sponsor explained the bill is intended to prevent the state from using a child’s Social Security survivor, disability, or death benefits to offset care costs, instead requiring those funds to be preserved in an account for the child and made available at certain milestones or when the child leaves care. Members asked about who would oversee the funds, how annual eligibility reviews would work, and when the child could access the money; the sponsor said the cabinet would set the review process by rule and that the funds would remain available for the child. The committee approved HB 669 15-0 with favorable expression. The committee then considered House Concurrent Resolution 36, as amended by committee substitute, which creates a child welfare and family court reform task force. The substitute changed the reporting structure to send the task force’s report to the interim joint committee on families and children and the judiciary committee, rather than a now-defunct Health and Human Services committee. Supporters said the task force should review child abuse and neglect, foster care, and family court processes, and gather input from experts and people with lived experience. Members discussed whether the work should be divided into separate family court and child welfare task forces, but the resolution moved forward and passed 15-0 with favorable expression. Finally, the committee heard House Bill 686, which would establish a Kentucky Positive Youth Development Commission and a dedicated trust and agency account to support community-based youth programming up to age 25. The sponsor and witnesses said the bill responds to rising youth mental health concerns, self-harm, and suicide, and would coordinate statewide efforts, support evidence-based out-of-school programming, and provide technical assistance to local partners. Testimony emphasized the importance of connectedness, trusted adults, community-based responses, and using settlement funds from social media-related harms to youth to support the trust. Members asked about how the bill compares with other states and how the “dose-response” language relates to adverse and positive childhood experiences. HB 686 also passed 15-0 with favorable expression. The committee announced its next meeting for Thursday, March 12 at 9:00 a.m. and then adjourned.

Transcript Highlights:

• Our time is valuable as it is a time of those testifying and the public following along.
• . time.
• Thank you for your time today.
• I want to respect your time.
• Thank you for your time.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• This is my first time on this committee this session. Usually it's like 11 times by now.
• Most of the time it’s okay.
• Most of the time it’s okay.
• <01:10:22.880> But Most of the time it's okay. But Most of the time it's okay.
• Um, there's a green screen. I don't know if you've all seen the green screen.

Keywords: 1183, house

Transcript Highlights:

• ,<00:21:23.600> um officers and reduce weight times, um officers and reduce weight times,
• >> Madam Chair, if I may, on on the screen >> Madam Chair, if I may, on on the screen
• last budget cycle and now this time last budget cycle and now this time we're<00:36:30.800> asking
• Um, hotels for for four weeks of time.
• And that's times it's not to go to.

Keywords: Opening and Roll Call 00:28 Public safety Cabinet 01:09 Juvenile justice MH Facility: 04:30 Department of Corrections Repair and Replacement: 10:29 Department of Criminal Justice Flat Track 19:05 KSP : 27:02 Department of Public Advocacy : 37:35, 958, all

Summary: The subcommittee heard capital project requests from the Justice and Public Safety Cabinet for fiscal years 2026-28. The cabinet described its large statewide footprint and said its facilities face significant deferred maintenance, with the governor’s budget proposing full funding for maintenance pool requests, including an additional $60 million for the Department of Corrections’ maintenance pool and cash funding through investment income. Officials said the projects were based on facility assessments and were presented as necessary public safety investments rather than wish-list items. For the Department of Juvenile Justice, the main requests were $35 million for a high-acuity mental health treatment facility and $45 million each for two new female detention facilities. Officials said the mental health facility would fill a gap for youth needing psychiatric care, while the female facilities were needed to support a regional detention model and address overcrowding; they noted the current female population has grown by 50% since July 2024. Members asked about locations, and staff said they were considering western Kentucky abandoned mine land and available land in Fayette and Jefferson counties, with current female placements in Boyd County and Warren County. For the Department of Corrections, officials requested funding for critical mechanical, electrical, plumbing, roof, and structural repairs, including $15.78 million for Kentucky State Penitentiary utilities infrastructure and additional funding for North Point Training Center projects. They also highlighted two re-entry initiatives: a KCTCS partnership for a re-entry campus at North Point and the East Kentucky Applied Manufacturing Institute at Eastern Kentucky Correctional Complex, both aimed at reducing recidivism through intensive training and job preparation. Members asked about the KCTCS re-entry model, and DOC explained it would be a more immersive, campus-style program than current prison-based vocational classes. The Department of Criminal Justice Training discussed projects at its Richmond campus and the planned Western Kentucky Training Center, including a replacement flat track and campus access road at Richmond and added training features in Madisonville. Officials said the Richmond changes were needed because EKU construction had removed the existing flat track and would affect access, while the Western Kentucky project would expand training capacity and reduce travel for law enforcement agencies. The Kentucky State Police then outlined the final phase of the statewide emergency radio system replacement, estimated at about $17.5 million, and said the system is being built in geographic phases; members asked how long completion would take, and staff estimated roughly four years after funding, assuming no major inflation spikes. No votes were taken, and the meeting remained informational with member questions and staff responses.

Transcript Highlights:

• So thank you so much for your time.
• time during after<00:36:43.800> school<00:36:44.200> time<00:36:44.880> School<00
• Thank you so much for your time.
• Thank you so much for your time.
• Thank you so much for your time.

Bills: HF1966, HF54, HF2043, HF1171, HF2741

Keywords: HF1966, Minnesota Association of Alternative Programs, STARS program, alternative education, alternative programs, education finance, general fund appropriation, student support services, career readiness, employment skills, academic skills, social skills, student conferences, training grants, Minnesota Department of Education, specialized education, at-risk students, nontraditional education, HF54, Silver Lake

Transcript Highlights:

• So about a third of our population is turning over all the time.
• equal to the amount of gain time they earned while in custody.
• time.
• When a kid goes to detention, I talked about the screening.
• offense, nine out of ten times, or more than nine out of ten times, they're not going to come back into

Summary: The committee met to hear an overview of the Appropriations Committee on Criminal and Civil Justice budget area and then received performance-measure presentations from the Department of Corrections, the Commission on Offender Review, and the Department of Juvenile Justice. Staff reviewed the roughly $7.4 billion criminal justice and judiciary budget, noting major funding areas such as corrections, law enforcement, victim services, courts, and due process, along with recent investments in prison health care, security equipment, fentanyl enforcement, court staffing, and juvenile justice salaries and education programs. Secretary Dixon of the Department of Corrections described staffing and population pressures, including growth in inmate population, overtime-driven deficits, and the opening of additional housing units. He emphasized the department’s use of performance measures and highlighted reforms such as incentivized prisons, administrative management units, reentry planning, faith-based programs, and expanded education and vocational training. Members asked about teacher hiring, public defender pay parity, fentanyl funding, staffing capacity, and the role of the National Guard; Dixon said teacher vacancies had improved, public defenders had received comparable pay increases, fentanyl funding would be addressed further by FDLE, and the Guard had helped stabilize staffing. The Commission on Offender Review reported on parole, conditional release, addiction recovery supervision, and revocations, saying its recidivism/success rates had improved over a three-year measurement period. Senator Rouson pressed the commission on clemency and pardons, saying that work was omitted from the presentation and asking for backlog and case data; the commission said it did not have those figures on hand and would follow up. The committee also discussed a conditional medical release pilot study, and members questioned the report’s conclusion that no suitable elderly inmate population could be identified, asking what criteria were used and whether stakeholders were consulted. Secretary Hall of the Department of Juvenile Justice outlined the agency’s prevention-to-residential continuum and its emphasis on education, data-driven decision-making, and evidence-based programming. He said salary increases had reduced vacancies, juvenile arrests and residential commitments had fallen sharply over time, and tools such as civil citations, risk assessments, and quality-improvement reviews were being used to guide placements and services. Hall also described the department’s use of dashboards, monthly data check-ins, and the dispositional matrix to improve outcomes and reduce recidivism.

Transcript Highlights:

• time frame for the the legacy plan? time frame for the the legacy plan?
• That takes some time.
• <00:43:06.440> um but over that same period of time um but over that same period of time um
• than question time. I'm on a soapbox. than question time. I'm on a soapbox.
• It's not even on my radar screen.

Keywords: Meeting Start: 00:00:00 Attendance Roll Call: 00:00:12 Approval of Minutes: 00:01:34 Actuarial Valuation Update – KPPA: 00:02:10 Actuarial Valuation Update – TRS: 00:25:32, 958, all

Summary: The meeting began with roll call, confirmation of a quorum, and approval of the prior minutes. The main presentation was from KPPA officials Ryan Barrow and Erin Saratt on the annual actuarial valuations for the retirement and insurance systems. They said the systems’ funding status improved overall, with three of five insurance funds fully funded, CERS hazardous dropping from over 100% funded to 90.9% because of premium changes, and KRS receiving $650 million in supplemental funding over the biennium. They also reported strong investment returns above assumed rates, higher payroll and membership counts, and resulting actuarial losses tied to higher salaries and premiums, especially on the insurance side. Members asked several questions about what drove the actuarial losses and whether legislation affected them. KPPA said the CERS insurance loss was driven by premium increases and Senate Bill 10, while the pension-side losses were largely due to higher payroll and benefits for Tier 1 and Tier 2 members. They explained that new Tier 3 employees are designed to add no additional unfunded liability, and that the state administers the systems but does not directly control all hiring. Questions also focused on retiree health premiums, which KPPA said rose about 15% for non-Medicare retirees and 38% for Medicare retirees, with the increase attributed to utilization, prescription costs, and the Inflation Reduction Act. The committee then heard from TRS Deputy Executive Secretary and General Counsel Beau Barnes on the 2025 TRS actuarial valuation. He reported that the Retirement Annuity Trust and Health Insurance Trust both received full funding, the retirement trust’s funded ratio improved to 61%, TRS 4 remains well funded with no liability, and the health insurance trust improved to 89.1%. Barnes said TRS is on track to fully fund legacy liabilities within the amortization period, with 2044 as the point when the system reflects 100% funding and 2046 as the last year needing additional dollars for the legacy liability. He also explained that lower assumed investment returns and updated mortality assumptions increased liabilities, but that TRS uses direct rate smoothing for budgeting purposes. At the end of the meeting, the chair circulated a proposed set of “do’s and don’ts of pensions,” emphasizing that future legislation should not create unfunded liabilities. Barnes also noted he would later discuss several legislative proposals for the 2026 session, but the transcript provided ends before that discussion or any votes on those proposals.

Transcript Highlights:

• houses they are given a period of time houses they are given a period of time whether<01:04:48.599
• I think it amount of time.
• <01:17:29.000> volunteering full-time volunteering full-time volunteering full-time<01:17:31.159
• women's phone screens.
• women's phone screens.

Keywords: 928, house, all

Summary: The House Municipal and County Government subcommittee met on February 19, 2025 to gather additional information on House Bill 432, which concerns recovery houses. The first witness, State Fire Marshal Sean Tumi, said his office had worked with stakeholders for more than a year on the bill’s definition changes and supported the revised definition. He explained that the bill removes vague language such as “safe, healthy, family” and instead relies on fire-code requirements and certification standards, including a primarily non-transient dwelling unit and living as a single household. He distinguished recovery houses from boarding or rooming houses and from other congregate settings such as group homes or transitional housing, saying those other uses do not currently have the same exemptions. Members questioned Tumi about fire safety, inspections, smoke alarms, egress, and whether sprinklers should be required. He said recovery houses are inspected by the fire marshal’s office and local fire departments, with annual inspections under state fire code provisions, and that operators must work with a certifying body. He described the inspection process as checking alarms, extinguishers, heating systems, cooking equipment, street numbers, and no-smoking rules, and said new houses are generally given time to obtain certification. He also said he would prefer sprinklers everywhere but believed mandating them for these existing structures would likely shut down many recovery houses and significantly harm the recovery community. Bill McKenny of the New Hampshire Building Officials Association then testified in support of HB 432. He said recovery housing is an important step after treatment and that the 2024 code changes and the bill help align state law with federal disability law. He emphasized that certification through a recognized organization gives code officials confidence that standards are being monitored, and warned that if a recovery home loses certification it would lose the waiver from sprinkler requirements and could be treated more like a boarding or rooming house. No vote or final action was taken at this meeting.

Transcript Highlights:

• conducting health screenings. conducting health screenings.
• Reducing the time to necessary.
• providers and much shorter wait times providers and much shorter wait times for<00:08:55.760>
• <00:09:38.480> to concern, we can reduce the time to concern, we can reduce the time to treatment
• Thank you, Chairman Deets. >> Thank you for your time today. >> Thank you for your time today. >> Thank

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• At times, they may come and go, but if 16 of us all want to go on for any significant period of time,
• Again, this is past before my time.
• that on the radar screen.
• For our children at a time where we're spending a lot of time talking about chronic disease, how we know
• Thank you so much for taking the time.

Keywords: 988, house, all

Transcript Highlights:

• <00:02:32.720> we not be necessary At All by the time we not be necessary At All by the time
• He said Black mothers were 2.3 times and Native American mothers about four times more likely to die
• Thank you for your time.
• I appreciate your time today.
• worked on these issues for a long time worked on these issues for a long time and<00:59:44.559><

Keywords: 1183, house

Transcript Highlights:

• I'll do better next time.
• <00:31:27.240> and chair Senator green at that time and chair Senator green at that time and
• Sen file 1710 thank you for your time Sen file 1710 thank you for your time and<00:43:47.720>
• This overall saves time and money.
• for facilities this overall saves time for facilities this overall saves time and<01:26:58.760><

Keywords: 1187, senate, all

Transcript Highlights:

• That is such a timely question.
• That is such a timely question.
• Appreciate the time.
• The last time we had a rate change.
• So I think it’s perfect timing.

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• We want to make sure you have at least some time.
• and get things done in time?
• The biggest problem we have is time to test.
• The biggest problem we have is time to test.
• time.

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• Um, the initial referral at the time of the fatality was screened out, and multiple prior cases on this
• family were screened out as well, and there was a lack of a thorough investigation at the time of the
• inadequate documentation, or drug screen inadequate documentation, or drug screen was<00:13:37.600
• There were times at home where he would harm himself or others up to eight times a day.
• Okay, can everybody see my screen? Okay, can everybody see my screen? >> Yes.

Keywords: 958, all

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• And basically what that meant was when somebody's flat time, the amount of time they served and their
• have been out of school for a length of time.
• Uh, at this time we're gonna ask, uh, Ms.
• To be a teacher, she spent some time around.
• or not documented timely.

Transcript Highlights:

• And over time, with a lot of sets and it starts to make classifications.
• The kinds of examples we can do include real-time adaptation.
• That's been the case for a long time.
• and be responsible to turn things in on time and produce something.
• Um, yeah, we'll power through some of these in the interest of time.

Summary: The Committee on Education Pre-K through 12 held a panel discussion on artificial intelligence in K-12 education. Dr. Maya Israel of the University of Florida gave an overview of AI literacy, emphasizing that AI can support personalized learning, school operations, and teacher efficiency, but also raises concerns about data privacy, overreliance, mental health, and the need for human oversight. She described the Florida K-12 AI Task Force, which has produced guidance on policy, ethics, privacy, cybersecurity, classroom integration, and professional development, and is now working on district surveys, webinars, case studies, and teacher/family resources. Superintendents Van Ayers of Hillsborough County and Kevin Hendrick of Pinellas County described district-level implementation. Hillsborough outlined a governance council, a district AI policy, and an implementation guide; it prohibits generative AI for students below eighth grade, allows limited use for older students with teacher permission and district-vetted tools, and uses models for classroom AI expectations. The district also reported growing student enrollment in AI courses, teacher training through summer academies and quick learns, and pilots with tools such as Magic School and Microsoft Copilot. Pinellas emphasized academic integrity, student data privacy, digital responsibility, and the importance of human interaction in learning; it said state assessments already limit technology use and that districts need clear governance and parent transparency. Committee members asked about whether AI improves academic performance, the risk of student dependence, the possibility of returning to more paper-based testing, and who should set guardrails. Witnesses said reliable achievement data is still limited because the technology is new, though districts reported anecdotal gains in tutoring and early literacy. They also said there is no established statewide baseline for teacher AI training yet, so districts are using professional development, stipends, and partnerships with universities to build capacity. The committee also heard from Drew Andrew of FSU’s Inspire program, who argued that industry is moving faster than schools and that education should focus on teaching how AI works, building teacher confidence, and aligning training with workforce needs. No bills were considered and the meeting ended with a motion to adjourn, which was adopted.