Transcript Highlights:

• I'd like to call the committee to order. Welcome back. It's so good to see all of you again.
• The coroner would have to order that, so it falls in the hands of the coroner, mostly in the purview
• I'm going to be following the order of the study for reference.
• And I think some of us have marching orders. So, but thank you so much.
• Well, I should say marching orders—you guys all volunteered. They aren’t really orders.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• “Give me the order so I can go through the order. I need to announce the order, yeah.
• But if you make treatment or treatment for substance use disorder or mental illness a condition for getting
• And in order for them to share information...
• Order. Staff, please explain the bill. Mr.
• It's order. Staff, please explain the bill. Mr.

Committees: House Government , House House Government Committee of Reference

Transcript Highlights:

• The Senate will come to order. First order of business is roll call.
• Hearing no objection, it is so ordered.
• It is so ordered.
• Hearing no objection, it is so ordered.
• Hearing no objection, it is so ordered.

Transcript Highlights:

• interest of starting as close to on time as we can, the Committee on Health Policy will now come to order
• It says deleting the requirements that all officers and board members of medical marijuana treatment
• I got some things out of order. Let me have Dan, if I can. Did you mind? 1651. There we go.
• I got some things out of order. Let me have Dan. If I can. Bill in the back.
• I got some things out of order. Let me have Dan, if I could, if that's okay. We will. We will.

Committee: Senate Health Policy

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• in certain circuits, and it adds a treatment court administrator.
• Black presented a treatment court bill. I think it was last year.
• So this just adds an administrator, I think, to the treatment courts.
• So if they have a treatment court...
• So this just adds an administrator, I think, to the treatment courts.

Committee: House Judiciary and Civil and Criminal Jurisprudence

Summary: The House Judiciary Committee met with a quorum, announced that House Bills 3304, 2777, and 3054 would not be heard that day, and then moved into executive session. In executive session, the committee considered House Bill 1910, which concerns child maintenance/child support obligations for certain persons convicted of DWIs. Representative Davis offered an amendment changing mandatory language from “shall” to “may” to preserve judicial discretion; the amendment was adopted 5-2 with one present. The committee then adopted a substitute and voted the House Committee substitute for HB 1910 do pass 7-0 with one present. The committee next took up House Bill 3116, a civil jurisprudence bill. An amendment was adopted to incorporate provisions from three previously heard bills: HB 1711 (Uniform Deposition Act), HB 1713 (allowing circuit courts to dissolve LLCs), and HB 3072 (workers’ compensation changes). The committee rolled the amendment into a substitute and voted the House Committee substitute for HB 3116 do pass 8-0. The committee also considered House Bill 3289 on court operations. An amendment was adopted to add treatment court administrators in certain circuits, subject to appropriations, then rolled into a substitute. The House Committee substitute for HB 3289 was voted do pass 8-0. In public hearing, Representative Dolan presented House Bill 3443, which would raise the court automation fee from $7 to $10 and add a CPI-based annual adjustment. Supporters from the Judicial Conference of Missouri said the fee has not been updated since the 1990s, that court automation costs continue to rise, and that the surcharge covers only a portion of the system’s expenses; they also noted that salaries are generally funded through general revenue rather than fees. Committee members asked about the new fee amount, what the revenue would support, and the collection-rate assumptions in the fiscal note. No opposition testimony was offered. Representative Parker then presented House Bill 2865, which would remove the statutory cap of $75 per hour for attorney’s fees in certain agency/licensure proceedings and replace it with “reasonable” fees. He and supporters said the current rate has not been updated since 1989 and is too low to attract attorneys for cases involving licensed professionals defending their licenses. Testimony in favor came from a private attorney who practices in this area, the Missouri Bar, and another supporter who said the bill would improve representation for Missouri licensees. No opposition testimony was presented, and the hearing on HB 2865 was concluded.

Transcript Highlights:

• The Committee on Judiciary will not come to order. Madam Secretary, please call the roll.
• courts. ...it talks about treatment courts in certain circuits, and it adds a treatment court administrator
• Representative Black presented a treatment court bill last year.
• So this just adds an administrator, I think, to the treatment courts.
• So this just adds an administrator, I think, to the treatment courts.

Committee: House Judiciary

Transcript Highlights:

• The Health Professions and Program Subcommittee will come to order, and Nola, please call the roll.
• which is a rare genetic disorder that affects the heart and muscles in children, offering a new treatment
• To better understand patient treatment challenges and promote research and access to novel therapies,
• And so we, from that, chose a different path of data mining. to increase successes of treatment, and
• How many are effectively receiving treatment?

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• The Committee on Appropriations will now come to order. Alicia, please call the roll. Chair Hooper?
• We probably have about a year lead time in order to bring this under control.
• Florida has kind of matched our temporary treatment.
• Florida has kind of matched with our temporary treatment.
• And this is the next step we are taking in order to do that.

Bills: S0006 , S0026 , S0206 , S0532 , S0576 , S1012 , S1110 , S1178 , S1192 , S1758 , S1760 , S7046 , S7048

Committee: Senate Appropriations

Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.

Transcript Highlights:

• treatments are only available in a very narrow, early stage of the disease.
• We got treatments for her breathing problems immediately.
• Despite starting treatments immediately, she continued to worsen.
• Thank you for taking me out of order. Sure. All right. So this is Malani Gomez.
• Really appreciate you guys taking me out of order.

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:

• The House please come to order. Will members please indicate their presence by voting?
• Well, the House, please come back to order.
• This is specifically for the gas treatment plant. This is not the pipeline.
• The House, please come back to order. Mr.
• Will the House please come back to order? Will the House please come back to order?

Transcript Highlights:

• I WOULD LIKE TO CALL THE ORDER OF THE JOINT ADMINISTRATIVE PROCEDURES COMMITTEE TO ORDER FOR FEBRUARY
• COSTS WOULD BE ON THE ORDER OF 11%.
• LITTLE AREAS AROUND STORM WATER TREATMENT PLANTS, THE WET SYSTEMS.
• AND THEN ALSO CREDITS, TREATMENT CREDITS. SOLUTIONS WERE MENTIONED.
• AND THEN ALSO CREDITS, TREATMENT CREDITS.

Transcript Highlights:

• </c> became so expensive they were ordering became so expensive they were ordering um<00:34:01.440><c
• </c> um because they just when they order um because they just when they order this<00:34:03.039><c>
• It's always a treatment to anybody.
• </c><00:56:02.400><c> supporting</c> providing dental treatment supporting providing dental treatment
• :26:37.760><c> will</c> Wastewater treatment plant upgrades will Wastewater treatment plant upgrades

Summary: The committee met jointly for State Government, State and Local Government, and Elections and Constitutional Amendments, approved the minutes from the September 23 meeting, and then took up discussion of Senate Bill 126, a proposed constitutional amendment to restrict the governor’s pardon power. Senator Chris McDaniel said the measure was prompted by concerns over pardons issued in 2019 and would bar pardons for 60 days before a gubernatorial election through the swearing-in of a new governor, leaving the power otherwise intact. Members who spoke generally supported the proposal as a way to increase accountability, and McDaniel said he intended to place it on the 2026 ballot. No vote was taken on the bill during the discussion. The committee then moved to House Bill 16 on water fluoridation. Representative Hart and Senator Greg Elkins said the bill would remove Kentucky’s fluoridation mandate and give local water districts the choice to add fluoride or not. They emphasized that the revised draft also adds immunity language to protect districts from civil litigation regardless of their decision. Dr. Jack Call, a Louisville dentist, presented against fluoridation, arguing that the main dental benefit is topical rather than from drinking water and citing studies and reports he said linked fluoride exposure to reduced IQ in children and other health concerns. Cindy Batson, a nurse and parent, also supported the bill and said she had testified on the issue for years. During questions, Senator Rollins raised concerns about fluoride being an industrial byproduct and described fluoridation as forced medication. The discussion remained focused on the bill’s local-control and immunity provisions, with sponsors saying they were not trying to relitigate the broader science but wanted to remove the mandate. The transcript ends while questions and testimony on HB 16 were still underway, and no final committee action is shown.

Transcript Highlights:

• We have an interagency treatment tracker now online. It's in version 2.0.
• An example of that, the Park Fire had several treatments that, again, had a positive impact.
• If it had not been for previous and recent prescribed fires and fuel treatments, there were 15 treatments
• Which treatments did what?
• And if not, then what other options do you want to pursue in order to get those savings?

Transcript Highlights:

• Making sure they're complying with their court-ordered conditions.
• So they're getting copies of the pre-sentence investigation, treatment notes, treatment information,
• The judge could also order, or the prosecutor could order, pretrial diversion, in which case there's
• The sentence has been ordered by the judge.
• It means they need rehab, treatment, support, and education.

Committee: Joint Judiciary Committee

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• I'd like to call this meeting to order and welcome you to the Senate Health and Long-Term Care Committee
• we believe is forthcoming, we do expect to finalize our approach within the next several weeks in order
• And the opioid treatment provider recruitment and retention was just posted this week as well.
• And some of that does include cancer treatment and dialysis treatment.
• So that's where recommendations around, like, family-friendly substance use disorder treatment come in

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• If they get treatment, we'll dismiss the charges.
• up on your treatment and we will dismiss this case?
• to get each little piece in order to meet probable cause.
• So many cases we actually send out, we, we give them treatment option please you get into treatment.
• And they've actually responded in some cases, backed off of some of the orders, uh, or at least one order

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• By not having to travel for treatment, By not having to travel for treatment, residents<00:37:06.960>
• </c> course of treatment. course of treatment.
• I I think access in order to vote yes.
• A point of order, Madam Speaker. Member from Burlington, what is your point of order?
• Will the House please come to order?

Transcript Highlights:

• The Committee on Appropriations will now come to order. Alicia, please call the roll. Chair Hooper?
• releasing the defendant on the condition they comply with treatment.
• The pilot program helps restore competency and provide more comprehensive treatment.
• We need to give people treatment as opposed to incarceration when it's warranted.
• And so this bill provides some off-ramps on the front end to get people treatment, sustained treatment

Committee: Senate Appropriations

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• A committee will come to order. Welcome.
• ABA is the most effective and evidence-based treatment for people with...
• Just because they turn a certain age, do we just cut off their treatments?
• We have, out of order, we're going to take Representative Scanlan.
• We have, out of order, we're going to take Representative Scanlan.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• The Senate will come to order. The Secretary will call the roll.
• And whereas in the course of his treatment, DJ began to be... Prognosis.
• Hearing no objection, it is so ordered. All right. Very good job. Thank you.
• , as well as emergency treatments that may be needed.
• And with that, I move to suspend the regular order of business.

Bills: SJR12 , SJR81 , SCR39 , SB22 , SB32 , SB241 , SB393 , SB414 , SB458 , SB464 , SB568 , SB583 , SB609 , SB660 , SB693 , SB731 , SB732 , SB746 , SB783 , SB785 , SB897 , SB993 , SB996 , SB1008 , SB1029 , SB1035 , SB1036 , SB1120 , SB1122 , SB1147 , SB1163 , SB1188 , SB1197 , SB1209 , SB1227 , SB1245 , SB1267 , SB1307 , SB1321 , SB1332 , SB1386 , SB1394 , SB1396 , SB1470 , SB1494 , SB1537 , SB1596 , SB1598 , SB1610 , SB1664 , SB1814 , SB1822 , SB1841 , SB1948 , SB2065 , SB2155 , SB2406 , SB2407

Summary: The Senate opened with a quorum call, invocation, approval of routine motions, and the reading of gubernatorial nominations and several honorary resolutions. The chamber adopted resolutions recognizing Jack and Jill of America Day and DJ Daniel Day at the Capitol, with multiple senators offering remarks praising youth leadership, perseverance, and public service. The Senate also introduced the Doctor of the Day and then proceeded to a long series of floor actions on bills. A major focus was Committee Substitute for Senate Bill 568, which overhauls special education funding and services in public schools by moving from a placement-based model to an intensity-based system tied to student needs and IEPs. Senators Bettencourt, Creighton, and Menendez emphasized transparency, parent input, evaluation funding, dyslexia services, and better alignment of funding with actual services; Senator Hinojosa shared a personal story about dyslexia and the importance of early intervention. The bill was advanced on second and third reading and finally passed 30-0. The Senate also passed SB 1396 to prohibit national sex education standards in public schools, SB 2065 on the Texas Emergency Services Retirement System, SB 1664 requiring clearer public disclosure of transmission and distribution utility rate changes, SB 1029 on advertising certain used motor vehicles, SB 1120 expanding rights for family violence victims, SB 1036 regulating residential solar retail transactions, SB 464 creating school-proximity restrictions and penalties for tobacco and vaping sales, SB 1035 giving farmers and ranchers equitable relief from certain local agricultural regulations, SB 1610 addressing civil commitment facility safety and prosecution issues, SB 1197 extending drone restrictions to spaceports, and SB 1386 changing legislative witness immunity from transactional to testimonial immunity. Another major bill was Committee Substitute for Senate Bill 1188, which updates electronic health record requirements. Senator Kolkhorst said the bill builds on Texas medical privacy law by requiring U.S.-based storage of EMR data, prohibiting recording of voter registration status and credit score information, requiring provider verification and disclosure for AI-assisted diagnosis or treatment recommendations, preserving parental access to minors’ records until age 18, and ensuring EMRs can capture metabolic health and biological sex information. A floor amendment clarified the bill’s scope and enforcement, and the bill passed 23-7. Several measures drew debate, especially SB 414 on bond ballot transparency, where Senators Eckhardt and Menendez questioned whether requiring estimated interest and total debt cost on ballots could be misleading or difficult to implement because interest rates and financing terms can change before issuance or over time. The transcript ends during that discussion, with no final action shown on SB 414.