Transcript Highlights:

• Refer to the Committee on Insurance. HB 1365 by Hernandez.
• The Committee on Homeland Security, Public Safety and Veterans Affairs, HB 1372 by Raymond relating to
• Benefit issuers and employers referred to the Committee on Insurance.
• for border security for the Committee on Homeland Security, Public Safety, and Veterans Affairs.
• Code, refer to the Subcommittee on State and Federal Relations, H.R. 468 by Mesa-Rureka. organizing the

Keywords: 1184, house, all

Transcript Highlights:

• On page 15 is a summary of federal funding for various educational initiatives.
• On page 16 is a summary of federal funds for the upcoming educational initiatives.
• Estimated distributions total 2.15% of the federal budget.
• I think that's a legitimate question given the drivers in health insurance.
• Senator Perry. ...question with the drivers in health insurance.

Bills: SB1 , SB 1

Committee: Senate Finance

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Number one, it says that states do need to follow the federal law.
• To make sure the insurance carriers are spelled out in there.
• We're simply asking the federal delegation to approve this on the federal level rather than Louisiana
• And the reason I’m concerned about it is federal law.
• Federal law, the National Childhood Vaccine Injury Act, 42 U.S.

Committee: House Health and Welfare

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• school district governing board that employs at least 300 employees and that establishes a self-insurance
• The bill details information each person who supports a school district self-insurance program must provide
• Madam Whip, members, House Bill 2120 uses the Social Security Administration determination letter to
• is HB 21 20 please Madam Witt members is past the House House Bill 2120 as the so the US Social Security
• Wouldn't this be like a federal bill around the airport? Isn't there like a ring?

Summary: The meeting reviewed a long list of Senate and House bills, mostly from Appropriations and Education, with staff describing strike-everything amendments and whether the amended language matched other bills. Topics included electronic monitoring in care facilities (SB 1041), dental board complaint forwarding and licensure exemptions (SB 1168), revitalization district contracts (SB 1189), timeshare salesperson licensing (SB 1274), veterinary telemedicine prescriptions (SB 1286), insurer zero-estimated-exposure policies (SB 1428), advanced air mobility funding for border security (SB 1457), death benefits for law enforcement pilots (SB 1503), ATV definitions (SB 1519), pet and fowl restrictions in planned communities (SB 1582), pharmacist independent testing and treatment (SB 1713), school district self-insurance quotes (SB 1497), and a housing/historic district measure tied to SB 1118. Most of these were presented as technical or policy changes, often noting that the strike-everything language was identical to a House bill already passed. The caucus then moved through several blue-sheet concurrence items. HB 2120 received a technical Senate amendment to align property-tax disability language with updated statute, and the sponsor concurred. HB 2174 was amended to require a modeling and data organization to file models used by insurers, with concurrence noted. HB 2203, aimed at reducing duplicative ADE and school reporting, was amended so ADE must review each statutory reporting requirement and report back to the legislature; the sponsor concurred. HB 2383 was amended only to name a trampoline court law as “TIE’s law,” with no substantive policy change, and the sponsor concurred. On the remaining House bills, HB 2877 was changed from timeshare licensing to create an alternative education pathway for certified veterinary technicians, and the sponsor concurred. HB 2875, dealing with unmanned aircraft and drone delivery, was amended to adjust airport-related local authority limits from one mile to 2.5 miles and to reference consultation with airports; members raised questions about FAA preemption and local authority. HB 2428 on emission reduction credits was amended to emphasize voluntary participation and limit new credits if participation later becomes mandatory, and the sponsor concurred. HB 2176 on health care institution licensing and complaint investigations was amended to allow older abuse-related complaints, and the sponsor concurred. HB 2050 on radiologic technology standards and radiologist assistant supervision drew the most discussion; the Senate narrowed the supervision change to rural counties under 500,000 population and critical access hospitals, and the sponsor concurred while members questioned the geographic scope. Finally, HB 2010 on refunds for digital goods was amended to shorten the refund window from 10 years to five, but the sponsor refused concurrence due to a drafting error, indicating a conference committee would be needed. The caucus then concluded.

Transcript Highlights:

• I'ma Lazzardo with the California Federation of Labor Unions in support.
• State law provides unemployment insurance benefits to military families.
• State law provides unemployment insurance benefits to military families.
• Elmer Lazzardi here with the California Federation of Labor Unions.
• A lot going on this morning and I had to jump over to insurance.

Committee: Senate Labor, Public Employment and Retirement

Keywords: 987, senate, all

Transcript Highlights:

• </c> higher deductibles and co- insurance higher deductibles and co- insurance rates<00:04:34.000><c>
• </c> insurance industry uh directly as Mr. insurance industry uh directly as Mr.
• Um insurance costs or personnel costs.
• </c> like Medicaid or Social Security. like Medicaid or Social Security.
• </c> of all settlement funds through secure of all settlement funds through secure interestbearing<00

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:30 Personnel Cabinet 00:03:25 Department of Veterans Affairs 00:12:40 Auditor of Public Accounts 00:22:39 State Treasurer 00:42:24, 958, all

Summary: The committee first heard from Personnel Cabinet officials on House Bill 6, which required the Kentucky Employees Health Plan to offer a qualified high-deductible health plan by the 2026 plan year. Officials said the plan was already added for 2025, described it as the lowest-premium option with higher deductibles, and explained that federal rules prevent first-dollar coverage except for limited preventive services. They said 264 members had selected the plan out of about 142,000, and noted it also allows health savings accounts. Members asked about the plan’s benefits, what “catastrophic” meant, the deductible amounts, and whether employees were aware of the option; the cabinet said it would continue to highlight the plan in communications and that the deductible is above $8,000 for individuals and above $16,000 for families. The committee then received an update from the Kentucky Department of Veterans Affairs on the Bowling Green veterans center. Officials said the current target is to move into the building on October 28, with first admissions about two months later, pending final fixes and certification steps for Medicare, Medicaid, and the VA. They explained that about $7 million in FY25 appropriations lapsed because of construction delays, staffing ramp-up was postponed to avoid unnecessary spending, and the unspent funds should be considered in the next budget request. Members praised the project and asked about annual operating costs; officials said the current operating budget is about $15 million, though they do not expect to spend all of it this year. The commissioner also announced the fifth annual state commanders conference in Lexington, focused on veterans issues and featuring state, federal, and advocacy leaders. State Auditor Allison Ball then outlined her office’s budget priorities. She said the office is primarily a billing agency that charges audited entities for its work, and warned that some agencies are now signaling they may refuse to pay for audits related to kinship care and the medical cannabis application process. She said the office plans to continue requesting outlier credits for unusually burdensome county audit fees, funding for the ombudsman office’s transition and expanded in-office operations, and revenue replacement for local government audits and possibly state audits and special examinations. Ball also said the office conducts about 500 audits, reviews, and examinations a year and wants to restore performance audits with seed funding, as well as add investigators to the ombudsman office to focus more on child abuse and neglect cases. Members discussed the value of performance audits, the possibility of raising certain board thresholds to account for inflation, and the need for additional capacity to handle more audits.

Transcript Highlights:

• Services mandated federal contractor.
• The data that we use includes data from the Social Security Administration to verify social security
• The Department of Homeland Security is used to verify immigration status.
• federal approval.
• Of the budget that just passed, the federal budget.

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• For insurance companies to refund employers the insurance premium for a dismissed employee that can be
• They are covered under federal law.
• I mean, the federal government is doing this.
• They are doing more to stay here, to be safe, to be secure.
• HCR 40 by Gertie, urging Congress to reimburse the state of Texas for border security. ...security costs

Bills: SB664 , SB40 , SB9 , SJR1 , SJR5 , SB27 , SB207 , SB2938 , SB1901 , SB1227 , SB1248 , SB912 , SB1321 , SB2143 , SB2145 , SB1497 , SB1239 , SB2180 , SB1388 , SB1762 , SB1662 , SB1951 , SB1537 , SB493 , SB378 , SB1020 , SB1018 , SB992 , SB958 , SB920 , SB1350 , SCR25 , SB687 , SB1332 , SB2185 , SB552 , SB664 , SB40 , SB9 , SJR1 , SJR5 , SB458 , SB482 , SB927 , SB984 , SB651 , SB1620 , SB2124 , SB2448 , SB841 , SB843 , SB402 , SB2662 , SB2053 , SB2332 , SB2112 , SB745 , SB1247 , SB1789 , SB27 , SB207 , SB2938 , SB1901 , SB1227 , SB1248 , SB912 , SB1321 , SB2143 , SB2145 , SB1497 , SB1239 , SB2180 , SB1388 , SB1762 , SB1662 , SB1951 , SB1537 , SB493 , SB378 , SB1020 , SB1018 , SB992 , SB958 , SB920 , SB1350 , HCR76 , HCR127 , HCR9 , HCR40 , HCR118 , HR559 , HCR59 , HCR135 , HCR141 , HCR46 , HCR109 , HCR10 , SCR25 , HB2525 , HB142 , HB140 , HB29 , HB451 , HB3809 , HB3307 , HB 1130 , HJR1 , HB9 , SB17 , SB260 , SB509 , SB1506 , SB1637 , SB2308

Keywords: Texas courts, judicial officers, associate judge, magistrate, master, referee, hearing officer, court administration, Government Code Chapter 54, Government Code Chapter 54A, bail training, Article 17.024, Article 15.17, local administrative judge, State Commission on Judicial Conduct, Office of Court Administration, county courts, criminal justice, criminal jurisprudence, judicial qualifications

Transcript Highlights:

• </c> levels, state, federal, and local. levels, state, federal, and local.
• </c> not insurance company rules or mandates. not insurance company rules or mandates.
• </c> appropriate, insurance should cover it. appropriate, insurance should cover it.
• </c> costs onto the entire insured pool. costs onto the entire insured pool.
• </c> $200 million in federal grants. $200 million in federal grants.

Keywords: 1189, house, all

Transcript Highlights:

• It is a federal requirement.
• We, by switching from a fully insured product to a self-insured product, have reserves that you have
• to maintain when you're self-insured that you don't have to maintain when you're fully insured.
• </c> we by switching from a fully insured we by switching from a fully insured product<01:43:57.679><
• </c> to maintain when you're fully insured. to maintain when you're fully insured.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• We swapped that from that type of funding to federal funds because federal funds were going to expire
• **Michelle Price**: ...type of funding to federal funds because federal funds were going to expire, and
• You've got to go through your insurance.
• I don't want my insurance premiums to go up because I reported it to the insurance company.
• Ukraine secure their borders.

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, Attorney General, budget recommendations, funding swaps, salary increases, Landowner's Compensation Program, public testimony, law enforcement

Summary: The meeting focused on the budget recommendations for the Office of the Attorney General (OAG), where key issues included the proposed decrease of $163.9 million for the 2024-25 biennium and various methodology swaps for funding. Attorney General Paxton discussed ongoing litigation expenditures and emphasized the need for continued investments in agency staffing to address rising demands within law enforcement. Notably, he requested a 6% salary increase for 2026 and 2027 to retain talented personnel amidst competitive job markets. Public testimony highlighted community awareness challenges regarding the Landowner's Compensation Program, indicating a need for enhanced outreach efforts.

Transcript Highlights:

• Explain to me, why would L.D.H. have to seek federal waivers?
• 1115 is a federal program whereby the federal government gives funds for states to come creative with
• I'm sorry, Insurance. Insurance, I apologize. Too many committees. That's okay, no problem.
• and there's a correction being made on the federal level.
• I would think that water or not, security is security. And that's the reason for Rep.

Bills: HB165 , HB175 , HB198 , HB272 , HB457 , HB488 , HB566 , HB603 , HB763 , HB902 , HB909 , HB971 , HB981 , HB1066 , HB1125 , HB1154 , HB1231

Committee: House Appropriations

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Transcript Highlights:

• This theft occurred because of so many stolen Social Security numbers. many stolen Social Security numbers
• There's a decrease in federal funding. Why can't that come out of the... federal funding?
• However, we just can't pay for it through federal dollars, so we're asking for... federal dollars, so
• . analysis for state and federal funding.
• dollars. influx of federal dollars.

Keywords: 924, joint, all

Transcript Highlights:

• Seeing no questions, move to adopt without objection. piece of legislation I had this year an insurance
• Louisiana Citizens Property Insurance Corporation.
• House Bill 1199 by Representative Jordan is an act in Title 22 relative to health insurance.
• Yes, this legislation came through insurance.
• I sit on Senate Insurance, I mean on Senate Retirement.

Bills: SCR12 , HB1259 , HB221 , HB509 , HCR117 , HCR58 , SCR29 , SCR33 , SB295 , SB312 , SB326 , SB348 , SB485 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HCR5 , HCR95 , HB75 , HB198 , HB244 , HB302 , HB325 , HB623 , HB719 , HB749 , HB755 , HB761 , HB797 , HB823 , HB1028 , HB1049 , HB1194 , HB1199 , HB1201 , HB1222 , HB17 , HB27 , HB36 , HB41 , HB73 , HB140 , HB166 , HB181 , HB211 , HB223 , HB226 , HB271 , HB308 , HB337 , HB399 , HB410 , HB487 , HB690 , HB712 , HB730 , HB750 , HB759 , HB762 , HB775 , HB906 , HB966 , HB968 , HB1006 , HB1009 , HB1018 , HB1036 , HB1062 , HB1081 , HB1086 , HB1098 , HB1107 , HB1112 , HB1203 , HB1215 , HB1220 , HB1242 , HB1252 , HB1256 , SB208 , SB217 , SB274 , SB283 , SB300 , SB341 , SB382 , SB387 , SB389 , SB401 , SB408 , SB449 , SB469 , HB74 , HB119 , HB134 , HB368 , HB414 , HB552 , HB732 , HB776 , HB848 , HB870 , HB953 , HB956 , HB1117 , HB1236 , SB29 , SB42 , SB43 , SB78 , SB149 , SB441 , HB210 , HB258 , HB359 , HB468 , HB784

Keywords: logging, recognition, John Keith, environment, safety, HB1259, mask penalty, masked felony, face covering, conceal identity, evade identification, sentencing enhancement, enhanced penalty, felony sentencing, crime deterrence, public safety, Louisiana criminal law, R.S. 14:313.2, R.S. 14:313, R.S. 14:329.7

Summary: The Senate convened with 26 members present, heard a prayer from Dr. Steve Horn, and recited the pledge. The chamber then handled messages from the House, including concurrence in SCR 83 and appointment of conference committee members on several disagreements. A number of Senate resolutions were introduced or adopted, mostly creating study task forces or commending individuals and organizations, including resolutions on energy infrastructure, breast pump access, insurance coverage for auto repairs, biomarker testing, higher education funding, public-private partnership contracting, and various commendations. Several resolutions were adopted without objection, while others were returned to the calendar or concurred in by recorded vote, including SCR 29 and SCR 33 with House amendments. The Senate also considered House and Senate bills and resolutions returned from the House, with many measures adopted or concurred in. Notable actions included concurrence in HCR 117 on homeowner insurance claims processes, adoption of HCR 5 on special red drum harvest permits, and passage of bills on TOPS Tech eligibility (HB 325), vapor product permitting (HB 623), ABLE/Tuition Trust administration (HB 749), design services contracting (HB 755), rare cancer advisory board composition (HB 761), non-emergency medical transportation reimbursement (HB 1028), public meeting notices (HB 1049), healthy food retail financing (HB 1194), genetic testing coverage for SCN2A disorders (HB 1199), grocery initiative grants (HB 1222, which failed), and a constitutional amendment on retirement debt repayment order (HB 27). The chamber also adopted HCR 95, creating a joint rule requiring a fiscal review of certain tax measures for sales and use tax uniformity. Several measures drew extended debate. HB 181, which would allow the legislative auditor access to Medicaid and SNAP-related tax information for eligibility verification and fraud review, prompted concerns about privacy and scope but ultimately passed 26-8. HB 1220 on the State Board of Medical Examiners generated amendment discussion about board composition and transparency, including live video broadcasting of meetings, but was returned to the calendar before final action. HB 1018, creating a temporary local moratorium on certain alcohol permits in one Shreveport district, passed after discussion about broader policy solutions. The Senate then recessed for lunch at 2 p.m. after completing the subject-to-call list for the morning session.

Transcript Highlights:

• Senate Bill 620 requires that, to qualify for nomination or election to a federal, state, county, or
• Federation, and he's waving in support.
• federation, and he's waving in support.
• Bill Hurley, National Federation of Independent Businesses, waiving in support.
• Indemnification is security against legal liability for one's actions.

Summary: The Judiciary Committee met and took up a series of bills, beginning with SB 620, which would require candidates for federal, state, county, district, judicial, and school board offices to disclose any citizenship in countries other than the United States. The bill was presented as a transparency measure, with one opponent waiving time, and it was reported favorably on an 8-0 vote. The committee then heard SB 1396 on litigation financing consumer protection. Supporters from the Florida Justice Reform Institute, American Tort Reform Association, and U.S. Chamber Institute for Legal Reform argued the bill would add transparency, limit funder control, and require disclosure of foreign entities involved in litigation funding. Opponents, including the Florida Justice Association, argued the bill would create strategic advantages for defendants and could affect discovery and settlement dynamics. The bill passed 7-2. The committee also approved SB 192, removing a $1,500 cap on patient funds chiropractors may hold in trust; SB 888, limiting indemnity and insurance requirements in design-professional contracts; CS/SB 332, creating a temporary closed-meeting exemption for pre-suit Burt Harris litigation strategy discussions; SB 820, requiring quarterly reporting on problem-solving courts; SB 1500, updating uncontested probate procedures; SB 1224, making fraudulent entry into rental dwellings a third-degree felony; and SB 1000, setting a floor and ceiling for interest rates on law firm trust accounts. Each of these bills was reported favorably, with broad support and little or no opposition. The committee also advanced CS/SB 694, which would compensate the descendants of the Groveland Four. Senator Bracey Davis described the bill as a final step in addressing the wrongful convictions, deaths, and long-term harm suffered by Charles Greenlee, Walter Irvin, Samuel Shepard, and Ernest Thomas. Family members and advocacy groups testified in support, urging the state to complete its acknowledgment of wrongdoing with monetary compensation. An amendment was adopted to divide any appropriation equally among the four families. The bill passed unanimously. Finally, SB 144 creating a public records exemption for personal information of Judicial Qualifications Commission employees and their families was approved 9-1. Several members also requested to be recorded as voting in the affirmative on specific bills before the committee adjourned.

Transcript Highlights:

• The Department of Health and Welfare and the plaintiffs' counsel in the lawsuit were in and out of federal
• After the adjustment, we were able to increase pay to $16 to $20 per hour, give them health insurance
• Are you also paying health insurance for some of these employees?
• And the health insurance, we do pay approximately 10 of our staff health insurance out of 30."
• And not administration and the health insurance.

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• Of the Division of Homeland Security and Emergency Services, and John P.
• Senate Print 8583C, Kavanagh, an act to amend the Insurance Law.
• Senate Print 10344, Bailey, an act to amend the Insurance Law.
• AN ACT TO AMEND THE INSURANCE LAW. &gt;&gt; READ THE LAST SECTION.
• WE STAND AS ONE OF 50 STATES WHERE THE POLICY OF THE FEDERAL Through you, Mr.

Keywords: 993, senate, all

Summary: The Senate convened, approved the journal, and then moved through a large number of motions to discharge bills from committees and substitute identical Senate bills for third reading. The chamber also received and accepted a Finance Committee report on nominations for Kathleen Mosier as Commissioner of Parks, Recreation and Historic Preservation, Terrence O’Leary as Commissioner of Homeland Security and Emergency Services, and John Kagia as Executive Director of the Office of Cannabis Management. All three nominees were confirmed, with Mosier and O’Leary confirmed unanimously and Kagia confirmed 57-1, with Senator Walczyk voting no. The Senate adopted previously approved resolutions recognizing June 2026 as LGBTQIA+ Pride Month and mourning the death of Susan Irene Wright of Harlem. Senators Brisport and Bottcher spoke at length in support of Pride Month, emphasizing LGBTQ+ history, resilience, and ongoing threats to the trans community. On the Susan Wright resolution, Senators Cleare, Bailey, and Bottcher praised her community leadership, philanthropy, and family legacy, and Assembly Member Jordan Wright was recognized in the chamber. The body then considered and passed many bills on the calendar, including measures on insurance, environmental conservation, public health, education, business law, labor, social services, highway law, and local tax exemptions. Several bills drew brief explanations of vote, including a measure to end higher insurance premiums for widows, a bill to prohibit correctional facilities from denying visitation because of menstrual products or IUDs, and a Medicaid-related bill to expand access to blood pressure monitors for pregnant people. Most bills passed with broad support, though some had notable opposition from a small group of senators. Late in the session, the Senate took up a proposed constitutional amendment on redistricting. Senator Stewart-Cousins sponsored the measure, and Senator Walczyk questioned it extensively, arguing voters had previously approved an independent redistricting process and objecting to changes that would remove the Legislature’s two-thirds map-approval requirement and alter the commission’s role. The sponsor said the changes were needed in response to aggressive partisan redistricting in other states and would still require voter ratification in future sessions. The transcript ends during that debate, with no final vote on the amendment shown.

Transcript Highlights:

• Importantly, HB 4144 does not replace health insurance.
• The insurance pool had no money, which we found out later.
• We need to draw down as many of those federal funds as we can.
• We are approaching a cliff with federal funding.
• Even when coupled with Social Security, this is not enough money for a secure retirement.

Committee: Senate Finance

Keywords: 1185, senate, all

Transcript Highlights:

• You can see the majority of the cases are insurance authorization challenges.
• We have some of this related to lack of insurance...
• Denials from insurers during the prior auth process can prevent that timely discharge as well.
• One that they touched on as well was patients ready for discharge... denials from insurers during the
• disability, delaying the Social Security disability process.

Committee: House Public Health

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• It directs federal reimbursements back into the general revenue.
• We align the state law with some federal laws in the transportation world.
• The bill doesn't address that on a federal law piece.
• Is there a notice requirement to the insured?
• Members, we need to remember that Citizens insurance was created as the insurer of last resort.

Summary: The House convened with a prayer, pledge, quorum call, and recognition of Officer Cody Popple of the FSU Police Department for his actions during the April campus shooting. Members also observed a moment of silence for former Lee County Judge John Carlin. The Rules and Ethics Committee report setting the special order calendar was adopted, and the Speaker outlined the final week of session, noting that budget negotiations were still ongoing and that the House would continue taking up Senate bills and returning messages. The chamber then considered a series of mostly technical or sunset-review bills, including SB 100, SB 104, and SB 102 on the Florida Statutes, all of which passed unanimously. Several Open Government Sunset Review bills were also approved, extending or preserving public records and meeting exemptions for the Public Service Commission, the Department of Military Affairs, the Department of Highway Safety and Motor Vehicles, cybersecurity records, emergency shelter information, conviction integrity units, the Florida Gaming Control Commission, and school testing materials; most passed with little opposition, though SB 7006, SB 7026, and SB 7022 drew some dissenting votes. The House also passed SB 7016 on small business loan records, SB 7008 on gaming commission records, SB 7000 on emergency shelter information, and SB 7004 on conviction integrity unit records. Members then moved into farewell remarks and recognitions, including an extended farewell speech by Representative Hart-Lowman reflecting on her service, family, district, and policy priorities such as criminal justice, housing, health care, and labor issues. The House also recognized visiting students from Osceola County and other guests in the galleries. Later, the House took up more substantive measures. SB 7040 recreated the emergency preparedness and response trust fund; after a lengthy debate over an amendment to let the fund expire and a strike-all restoring the House position, the bill passed 82-25. The chamber then passed CS/CS/SB 302 on coastal resiliency, CS/CS/SB 984 on firefighter cancer benefits, and CS/SB 474 on military affairs, all with broad support. The final portion of the transcript shifted to SB 488 on Department of Highway Safety and Motor Vehicles, where members debated vehicle registration requirements, license plate frames, and related amendments, including provisions for disabled veterans and dealer allocation rules, before the transcript ended mid-debate.