Transcript Highlights:

• We are notified of those as we are not management.
• log management and alerting system.
• So that's one way that we can absorb or manage some of the investment because, as Jay said, Or manage
• So, you know, the cash is sufficient to fund claims and claims are getting paid.
• I'm the accounting manager at Division Workforce Services. Thank you.

Committee: All LEGISLATIVE JOINT AUDITING

Summary: The Legislative Joint Auditing Committee met on June 5 and first adopted prior minutes and several committee reports. The executive committee report noted adoption of its minutes, staff updates on scheduled audits, approval of an annual financial audit for the City of Horseshoe Bend, and an update on the intern program. The Counties and Municipalities report covered delinquent private water and sewer audits, compliance follow-up with towns including Denning, Gum Springs, Omer, Fargo, Jericho, and Haynes, and review of current and deferred reports; the committee filed most current reports but deferred several and referred some matters to prosecutors and the Attorney General. The Educational Institutions report said 103 education audits were reviewed, most with no findings, while several school districts had findings and one Booneville School District finding was referred to law enforcement. The State Agencies report included findings at the Department of Finance and Administration and a deferred Department of Health report, and the committee filed 13 reports. The committee then received lengthy presentations on the State of Arkansas annual comprehensive financial report and the state single audit for fiscal year ended June 30, 2025. Legislative Audit issued unmodified opinions on the state financial statements, but identified two material weaknesses: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and improper methodology changes and documentation issues at the Division of Workforce Services affecting year-end estimates for unemployment-related accounts. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed. Auditors reported 33 findings overall, including 31 federal findings, $12.9 million in outstanding questioned costs, and qualified opinions for the Summer Electronic Benefit Transfer program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Committee members questioned DHS, the broadband office, OST, DFA, Education, and Workforce Services about the findings, corrective actions, cyber protections, federal drawdowns, child care reporting, and accounting methodology changes. Several agencies described corrective steps. DHS said it had changed how it draws Summer EBT funds, addressed provider revalidation and incarceration-related Medicaid issues, and updated internal processes and staffing. The broadband office said the questioned costs reflected invoice documentation disputes rather than missing payments and expected Treasury review to resolve the issue. OST said it was expanding logging, endpoint detection, and enterprise monitoring, and described broader cybersecurity investments, training, and a roadmap. DFA and Workforce Services addressed the workers’ compensation and unemployment accounting issues, with Workforce Services saying it had updated its policy and submitted the methodology to DFA. After discussion, the committee voted to hold the two statewide audit reports over until the August meeting, with members asked to submit specific questions in advance so only needed agencies would return. The final item was a special report on the Hot Spring County Solid Waste Authority for January 1, 2023 through June 30, 2025. The audit reviewed compliance with laws, board procedures, bidding, payroll, permits, inspections, and cash handling. It noted prior private audit findings on segregation of duties, that recent private audit reports had not been obtained for 2023 through 2025, and that the current administrator said prior office staff and bookkeeping contractors resigned when he was hired. The authority’s operations and revenue sources were described, and the report was presented for committee review.

Transcript Highlights:

• I'm Representative Lucy Dathan [member_1094], and I will be convening the Care Management Committee meeting
• Our staff and the practices really appreciate the dashboard we have, with only a two-month claims lag
• Is that the claim codes do continue to persist in showing some element of a prior diagnosis.
• Among them and then have MBE and try to get that done prior to the July meeting for care management.
• I'd like to bring those two items to our care management committee this fall.

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.

Transcript Highlights:

• The burden on our counties is significant. ...necessary to manage their populations more effectively.
• These disparity claims are not failing on their merits.
• These disparity claims are not failing on their merits.
• So, the four cases that we're discussing are the disparity claims.
• Disparity claims are one of the types of claims that can be brought.

Committee: House Public Safety

Transcript Highlights:

• It makes no sense for Texas property owners to have their claims resolved in New York under New York
• I know some school districts hire risk managers where they... and read the contracts.
• New York arbitrator preside over a Texas school district's insurance claim somehow made sense.
• Individuals may rely on family members or other caregivers to help manage their affairs.
• Why can't you say, "Making this claim is going to affect you"?

Bills: SB388 , SB455 , SB917 , SB925 , SB1006

Committee: Senate Business & Commerce

Transcript Highlights:

• Certain promises are made to be aggressive on land management in California, yet certain claims are made
• </c><00:21:09.600><c> in</c> to be aggressive on Land Management in to be aggressive on Land Management
• </c><00:21:12.039><c> are</c> California yet and certain claims are California yet and certain claims
• They're not allowed to be managed by environmental lawsuits and such.
• <c> managed</c><02:12:29.400><c> by</c><02:12:29.520><c> environmental</c> allowed to be managed by environmental

Transcript Highlights:

• Thank you for helping us manage this. We want to hear from everyone.
• You claim this bill is about ensuring safety and privacy for women.
• I keep hearing the phrase, "a man claiming". I was never a man claiming I'm a woman.
• It's easy to claim that this isn't happening, but it is, and any claim made to the contrary is, at best
• Substantiated claims reported to the press, if not for this law.

Bills: SB7 , SB14 , SB 7 , SB 14

Committee: Senate State Affairs

Transcript Highlights:

• We do monitor claims activity.
• </c><00:35:29.960><c> Care</c> agreements with their Managed Care agreements with their Managed Care
• We do monitor claims activity.
• includes all of the Managed Care includes all of the Managed Care organizations<00:36:45.599><c> so<
• we do monitor pharmacy benefit manager we do monitor claims<00:37:12.240><c> activity</c><00:37:13.160

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• Chair, paid out on 40 claims out of this fund, which...
• Well, there's claims that happen. You just mentioned them. I don't know the claims.
• set up to subsidize claims against hospitals.
• I wasn't part of the management system.
• But no taxpayer should be responsible for a corporate claim within a hospital or a doctor's claim.

Bills: SB132 , SB241

Committee: Senate House Appropriations & Finance

Summary: The committee first heard HB 158 as amended, which would require state agencies receiving appropriations from the Grow Fund to submit accountability and evaluation plans to the State Budget Division and the Legislative Finance Committee. LFC staff said the bill would put existing practice into statute and formalize agency reporting and evaluation responsibilities. The bill drew no opposition testimony, and after questions about whether agencies or LFC would do the evaluations, it passed on a 9-0 due pass vote. HB 255, the Public Safety Workforce Building Program, was then presented as a bipartisan measure to consolidate public safety workforce funding into a competitive grant program for local law enforcement, fire, detention, and public attorney offices. The sponsor said it would not require a new appropriation. There was no opposition testimony, and the committee approved it on a 9-0 due pass vote. The committee then took up SB 309, which would replace the lottery’s 30% return requirement with a fixed floor return for several fiscal years, with a reversion to the current law if the floor is not met. Lottery officials and supporters argued the change would let the lottery offer more competitive prizes, including higher-value scratchers, and potentially increase scholarship revenue; opponents, including Think New Mexico and a nursing student, warned it could cap long-term growth and reduce scholarship funding. After extended debate, the bill passed on a 7-2 due pass vote. Later, SB 79, creating a statewide mosquito-borne disease prevention program through the Department of Health, was presented by its sponsor as a response to West Nile virus and warmer winters. Testimony from the sponsor and the state entomologist emphasized rising mosquito risk and the need for county grants and statewide coordination. Although the committee initially moved to table the bill because funding had already been included in the budget, that motion failed and the bill ultimately received a due pass vote. The committee also heard HB 295, which would create a centralized accessibility reporting position in the Department of Health; after testimony for and against, an amendment stripping the appropriation was adopted, and the bill passed 5-3. The committee then heard HB 124, establishing an Office of New Americans within Workforce Solutions to coordinate workforce integration for immigrants with lawful status. Supporters described barriers faced by immigrant workers and the need for bilingual training and centralized assistance, while the sponsor said the office would have no first-year budget impact. The bill passed 6-4. Finally, the committee considered SB 273 and SB 274, both involving state financial support for affected entities and the Patient Compensation Fund. SB 273, which would provide temporary state assistance to communities affected by economic disruption, passed after debate about precedent and economic recovery. SB 274, which sought repayment from the Patient Compensation Fund for prior state infusions, drew opposition from hospitals and physicians who warned of higher surcharges and questioned the timing and legality; discussion continued around the committee substitute and the fund’s statutory restrictions.

Transcript Highlights:

• risks... ...to work with state and local governments to manage risks, whether it's physical risks or
• These claims were based on the absence of presidential authority.
• And what the court did was it dismissed the claims as to elections after the 2026 general election on
• And DOJ has made this demand under the Civil Rights Act, but they're claiming that their purpose is to
• I mentioned the contract claim, the SNAP contract claim regarding data of beneficiaries.

Committee: House State Government & Tribal Relations

Transcript Highlights:

• Taking away our ability to manage these needs will greatly impact us.
• Reasonably describe the injury claimed in the ordinance, order, or rule.
• Claim against it under this subchapter not later than three months.
• The ability, the difference... is the notice we receive of the complaint of the claim in this case.
• Regarding the county's actions and management of that primary process, which is a political process,

Bills: HB5691 , SB427 , SB2623 , SB2858

Committee: House Intergovernmental Affairs

Keywords: municipal management district, bonds, assessments, property taxes, economic development, eminent domain, special district, SB 427, local government, political subdivision, state loan, state grant, financial reporting, annual financial statement, annual report, county report, municipal finance, water district, municipality, county auditor

Transcript Highlights:

• </c> inaugural year and continues to manage inaugural year and continues to manage the<00:10:32.160><
• </c> said, frequency 200 school boards manage said, frequency 200 school boards manage to<00:27:32.880
• </c> small little school boards that managed small little school boards that managed to<00:27:56.559>
• ,</c><00:35:48.880><c> or</c> services, facilities management, or services, facilities management, or
• claimed that they and today claimed they claimed that they and today claimed they conducted<00:47:40.480

Committee: Senate Education

Transcript Highlights:

• It is a settled claims bill, and we ask for your support. Thank you.
• This amendment changes the bill's title to waste management.
• Because I'm trying to tackle the issues on waste management.
• South Florida Water Management District covers the east coast of Florida.
• Current bans on auxiliary containers make waste management easier for everyone.

Summary: The committee first took up CS/SB 1730, a Live Local Act bill on affordable housing. The sponsor described it as a set of technical and policy adjustments to strengthen implementation, including changes to zoning, height, parking, moratoriums, attorney fees, and related land-use rules. An amendment by Senator Claudio was adopted, adding provisions such as a 10-story height limit near single-family neighborhoods, exclusions for certain protected areas, and changes to fee and use definitions. The committee then reported the bill favorably. Members next considered CS/SB 1674 on unrated bonds for Israel bonds, with a clarifying amendment adopted to make clear the bill applied only to Israel bonds. CS/SB 140 on charter schools was also approved after debate over parent-led conversion of public schools, municipal job-engine charter schools, and surplus school property; opponents warned about local control and impacts on teachers and communities, while the sponsor said the bill preserved district authority and created new school-choice and economic-development options. The committee also passed SB 96, a claims bill for Jacob Rogers, and CS/SB 954 on recovery residences, after strike-all amendments that addressed zoning, ADA concerns, bed caps, staffing ratios, and limits on operation in certain multifamily settings. Senators expressed support for expanding treatment housing but also raised neighborhood and staffing concerns. The committee then approved CS/SB 1714 on local housing assistance plans, which would allow SHIP funds for limited lot-rental assistance for mobile-home owners and require local plans to address mobile-home park closures. SB 658 on standardized construction lien release forms was reported favorably despite testimony from contractors and lawyers warning about possible effects on lien rights and the separate House proposal. The committee also reconsidered and then approved CS/SB 482 after a late-filed amendment addressing local government art fees and a key issue over defining “extraordinary circumstances,” with counties and cities saying more work remained. Finally, the committee passed SB 24 and CS/SB 4, both local claims bills, CS/SB 712 on synthetic turf and related construction rules, SB 952 repealing the emergency firearms/ammunition restriction, CS/SB 1164 allowing email notice delivery in landlord-tenant matters with opt-in safeguards, and SB 202 on municipal water and sewer rates, which drew extensive opposition from North Miami Beach and Miami Gardens officials over utility surcharges and revenue impacts. The meeting ended with SB 202 still under heavy questioning and testimony about the fairness and financial consequences of the surcharge structure.

Transcript Highlights:

• So that's just for filing the claim. The state's...
• The standard to prevail on a claim is clear and convincing evidence.
• The requirements for filing a claim are basically similar to what is existing in current law.
• And the outcome is, this outcome is not the lack of deserving claims that are coming forward.
• I work for the University of Washington as global engagement manager.

Summary: The committee heard several public hearings on criminal justice and victim-related bills. SB 6087 would expand existing liability protections for donations of children’s items to include religious organizations and add strollers and car seats to the definition of children’s items; the sponsor said it would make it easier to donate usable baby equipment, and the Washington State Board of Health said it supported the goal but noted rulemaking and funding concerns under the original version. SB 5934 would change the standard for post-conviction DNA testing so courts must grant testing unless the state shows by clear and convincing evidence that the results could not demonstrate a likelihood of innocence; the Innocence Project and a DNA exoneree supported it as a way to reduce years of litigation, while prosecutors and sheriffs/police chiefs opposed it as a burden shift that could increase frivolous motions and strain lab and attorney resources. SB 5520 would revise Washington’s wrongful-conviction compensation law by broadening definitions, extending filing deadlines, removing the waiver requirement, and making other process changes; the sponsor and Innocence Project said it would reduce barriers and better fulfill the state’s promise to exonerees, and a DNA exoneree described years of litigation just to access compensation. The committee also heard SB 6017, which would expand victim-centered and trauma-informed protections. The bill would allow a court to appoint a representative to ask questions of victims when a defendant represents themself, extend forensic exam consent to minors 13 and older in non-fatal strangulation cases, add female genital mutilation survivors to protections similar to the Sexual Assault Survivors Bill of Rights, and reauthorize and broaden the Safe Advisory Group’s mandate. Survivors, advocates, the Attorney General’s Office, and the Office of Crime Victims Advocacy strongly supported the bill, describing courtroom questioning by self-represented defendants as retraumatizing and urging broader access to services for FGM survivors; defense advocates raised constitutional concerns about limiting a pro se defendant’s right to personally question witnesses and said the bill could be vulnerable to challenge without narrower guardrails. The hearing drew extensive survivor testimony, and the chair noted 108 people signed in support and one opposed. Finally, the committee heard SB 5890, which would create an alternative reckless-driving offense for driving more than 30 miles per hour over the posted speed limit. The sponsor, a former firefighter, framed the bill as an accountability measure aimed at preventing severe crashes caused by extreme speeding. A committee member asked about officer discretion in emergencies, and the sponsor said the bill targets excessive speed while acknowledging that some situations may still be problematic. A preliminary fiscal note had been received.

Transcript Highlights:

• First, it establishes planning and risk management requirements.
• and cultural resource management procedures.
• to $15.3 million, based on an estimated impact of 9 to 20 claims.
• When I was cut off from pain management in 2019, my life spiraled.
• I haven't returned back to pain management over six and a half years.

Bills: SB6346 , SB6347 , SB6147 , SB6246 , SB5940 , SB5882 , SB6223 , SJR8206 , SB5762 , SB5828

Committee: Senate Ways & Means

Keywords: millionaires tax, wealth tax, income tax, state revenue, tax reform, Washington estate tax, estate tax, inheritance tax, death tax, probate, decedent, gross estate, taxable estate, exclusion amount, tax rate, estate planning, heirs, beneficiaries, RCW 83.100, Department of Revenue

Transcript Highlights:

• </c> don't know because the park management don't know because the park management won't<00:18:49.120
• It's a matter of attitude. with Park management I noticed a placard with Park management I noticed a
• </c><02:53:48.600><c> quote</c> Childhood Cancer and claim quote Childhood Cancer and claim quote reversing
• They're legally required, as I said, to manage under the Clean Air Act.
• </c><02:59:54.319><c> about</c> upgrades so any doomsday claims about upgrades so any doomsday claims

Transcript Highlights:

• So that's all managed by the treasurer.
• The contract with the treasurer's office has roughly a half a basis point for management, which is managed
• So that's all managed by the treasurer.
• The contract with the treasurer's office has roughly a half a basis point for management, which is managed
• the Easy Advance... ...basis point for management, which is managed by the trust.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard a JLBC presentation on H.R. 1’s SNAP impacts, including expanded work requirements, higher state administrative costs, and a potential state share of benefits if Arizona’s payment error rate remains above 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could expose the state to about $139 million in benefit costs starting in FY 2028. The chair also opened the meeting by asking members and speakers to keep remarks shorter to improve efficiency. The committee then considered several SNAP-related bills. HB 2797, which requires DES to more frequently verify eligibility through data matching, post fraud/noncompliance data, and address out-of-state EBT purchases, passed 7-5. HB 2442, requiring certain able-bodied SNAP adults with school-age children to participate in employment and training unless exempt, also passed 7-5. HB 2448, which limits DES’s ability to seek work-requirement waivers or discretionary exemptions without legislative authorization, passed 7-5. HB 2206, which sets a goal of reducing the SNAP payment error rate to 3% by 2030 and adds reporting and corrective-action requirements, passed 7-5 after debate over staffing, technology, and whether the target was realistic. The committee also advanced HB 2180, appropriating $2.5 million to the University of Arizona for AZ REACH, a hospital transfer coordination program serving rural facilities. Supporters said it improves patient transfers and reduces burdens on rural hospitals; some health system representatives were neutral but asked for operational improvements. HB 2180 passed 11-1. HB 2184, as amended, passed 7-4-1; it would extend fetal death certificate filing and require patients to be informed of the option to transfer fetal remains to a funeral home, with supporters describing it as a matter of parental dignity and closure. HB 2188, as amended, creating a Language Acquisition Grant Program for deaf or hard-of-hearing infants and toddlers, passed unanimously after testimony about balancing spoken-language and ASL options. The committee then began hearing HB 2194, a bill requiring insurers to provide a contact for detailed explanations after claim or prior-authorization denials, but the transcript ends before action on that bill.

Transcript Highlights:

• But it's, you know, with demographics, the next decade we're going to have to manage very prudently.
• It is responsible for managing sovereign wealth funds for New Mexico.
• We have over 1,300 death claims that we processed for 2024, compared to over 2,322 the year before in
• Thank you, manager. That's the clarification I was looking for.
• Those claims that we pay dollar for dollar when one of our members incurs a claim are what we've got

Committee: House Investments & Pensions Oversight Committee

Transcript Highlights:

• </c> prohibits a board member or management prohibits a board member or management company<00:25:12.080
• </c><00:46:46.640><c> It</c> or a property management company. It or a property management company.
• ><c> companies</c> But currently, some management companies But currently, some management companies
• </c> of how that works with insurance claims. of how that works with insurance claims.
• That elsewhere the term management company is used instead of property management company.

Transcript Highlights:

• made as expenses are incurred, limiting the availability of punitive damages in medical malpractice claims
• , limiting attorney fees in malpractice claims.
• to establish a centralized credentialing application process, including a time frame for Medicaid managed
• made as expenses are incurred, limiting the availability of punitive damages in medical malpractice claims
• title, is ordered not printed, and referred to the House Rules Committee. and an alleged squatter, claim

Bills: HB1

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• You know, when we went to managed care, we kind of handed things over.
• You know, when we went to managed care, we kind of handed things over.
• Tab 6 is CS for SB 944 on insurance overpayment claims submitted to psychologists.
• Overpayment claims submitted to psychologists by Senator Davis.
• a licensed psychologist, with claims starting on or after January 1, 2026.

Committee: Senate Health Policy

Summary: The Health Policy Committee heard and advanced several health-related bills. SB 1546 on background screening for athletic coaches was explained as another extension of the deadline for coaches to be added to the background screening clearinghouse; it passed favorably with support from athletic and youth sports organizations. SB 958 on type 1 diabetes early detection was amended to match the House version, requiring the Department of Health to provide school districts, school boards, and charter schools with informational materials for parents; it was reported favorably as a committee substitute. CS/SB 1070 on electrocardiograms for student athletes drew extensive discussion about sudden cardiac arrest prevention, implementation timelines, costs, funding through private and public sources, and whether insurance, KidCare, or Medicaid should cover screenings; after supportive testimony from school and athletic groups, it was reported favorably as a committee substitute. The committee also heard SB 1060, which would create a joint legislative oversight committee for Medicaid managed care to review encounter data, financials, audits, and rebate calculations with assistance from an actuary and the Auditor General. The sponsor and several senators framed it as a transparency and verification measure in response to large mid-year Medicaid funding increases and concerns about network adequacy and vertical integration; it passed favorably. CS/SB 944, which shortens the insurer overpayment recovery look-back period for claims involving psychologists from 30 months to 12 months, also passed favorably with support from the Florida Psychological Association. SB 1370, moving ambulatory surgical centers into their own statute rather than under hospital licensure provisions, was supported by surgery center representatives and reported favorably. The committee approved SB 768, as amended, to narrow the foreign-country-of-concern licensure attestation for health care entities to direct controlling interests and clarify the “reasonable efforts” standard; it passed after questions about how the standard would work in practice. SB 1544 on opticianry prompted significant debate over whether the bill would limit nonlicensed staff in ophthalmology and optometry settings; after a proposed amendment was withdrawn and multiple witnesses spoke both for and against, the bill was temporarily postponed. Finally, the committee adopted a strike-all amendment to SB 1808 requiring health care practitioners and facilities to refund patient overpayments within 30 days, with enforcement through AHCA fines or professional discipline, and then reported the bill favorably.