Transcript Highlights:

• In 2022, I was living with chronic serious multiple conditions, including diabetes, hypertension, obesity
• In 2022, I was living with chronic serious multiple conditions, including diabetes, hypertension, obesity
• In 2022, I was living with chronic serious multiple conditions, including diabetes, hypertension, obesity
• , depression, pain, and my diabetes is now diet controlled.
• , depression, and pain, and my diabetes is now diet controlled.

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

Transcript Highlights:

• WITH REPRESENTATIVE KINCART JONSSON, HOUSE BILL 901 DIABETES RESEARCH AND YOU ARE RECOGNIZED.
• INSTITUTE TO STRENGTHEN FLORIDA'S LEADERSHIP IN DIABETES RESEARCH TREATMENT AND EDUCATION.
• DIABETES AFFECTS MORE THAN 2 MILLION FLORIDIANS WITH HUNDREDS OF THOUSANDS MORE UNDIAGNOSED AND IT COSTS
• THIS IS NOT JUST A HEALTH ISSUE IS AN ECONOMIC ONE, THE LEGISLATURE INVESTED 10 MILLION IN THE DIABETES
• CURRENT STUDY OR WHAT UF HAS DONE BEFORE HAVE THEY LOOKED AT THE CORRELATION BETWEEN OBESITY AND DIABETES

Transcript Highlights:

• For example, if I were seeing a kid who was a New Hampshire resident and was suffering with diabetes
• epidemiologists sometimes testify, they claim otherwise, that it was COVID that was seen causing diabetes
• For example, if I were seeing a kid who was a New Hampshire resident and was suffering with diabetes
• If I were seeing a kid who was a New Hampshire resident and was suffering with diabetes in another state
• They claim otherwise, that it was COVID that was seen causing diabetes in kids.

Keywords: 1189, house, all

Summary: The Special Committee on COVID Response Efficacy met briefly without a quorum because many members were tied up in legislative committee of conference work. The chair said the committee would resume in June and, in the meantime, directed members to the committee webpage and the 2024 committee’s report and COVID-19 after-action report, which he said could be reviewed for possible updates and legislative recommendations on how New Hampshire should respond to future pandemics. The chair then introduced two recent articles as framing material: one about the U.S. Supreme Court declining to hear a challenge to the Los Angeles Unified School District’s COVID vaccine mandate, and another about CDC internal emails and alleged failure to publicly acknowledge vaccine safety signals. He argued these examples raised concerns about mandates, transparency, and the balance between individual rights and public health, and said the committee would revisit the issue in future meetings. Representative Pollazok thanked the chair for presenting both legal and medical perspectives and suggested the committee focus on reviewing scientific methodology and the quality of evidence behind competing claims. A member asked whether vaccine pamphlets now include risks and benefits, and the chair responded that FDA-approved products should have patient inserts available on the FDA website, including sections listing adverse events from clinical studies and commercial use. He said he would research and email the committee copies or excerpts. Members also discussed how to evaluate studies over different time periods, dosing levels, and the timing of side effects, as well as the difficulty of comparing vaccinated and unvaccinated outcomes when definitions change over time. Before adjourning, the chair said the committee would ask the New Hampshire Department of Health and Human Services how it would monitor and assess vaccine or pandemic-related issues in real time and whether additional structures would be needed in a future emergency. He said the committee would likely take July and August off, resume in September, and aim to have a draft report by mid-October and a final report by late October ahead of the November elections.

Transcript Highlights:

• And when you go and you dilate a pupil and you see beginning parts of diabetic retinopathy, so you're
• Diabetic retinopathy. So you're not doing aqueous glucose or anything like that.
• So when patients come to see us for diabetic eye exams, we are routinely dilating their eyes.
• But at this point, if we see diabetic retinopathy, based on its severity, we would continue.
• So if they're referred in for a diabetic eye exam, maybe I misunderstood.

Keywords: 959, house, all

Summary: The committee first established a quorum and then took up House Bill 3111, which concerns bail bonds oversight. A committee substitute was offered to fold bail bondsmen into the existing board for private investigators and private fire investigators, avoiding a fiscal note. An amendment then removed a $150 cap on fees charged to bail bond agents so the board could set fees as needed. The committee adopted the amendment, rolled it into a new committee substitute, and voted the House Committee Substitute for HB 3111 do pass by a 21-0 roll call. The hearing then moved to Senate Substitute No. 2 for Senate Bill 1233, the CPA licensure bill. Senator Curtis Trent and supporters from the Missouri Society of CPAs and the state auditor’s office said the bill creates a new pathway to CPA licensure that emphasizes practical experience over additional academic credit hours, while keeping the same exam standards. They also described related provisions for social work supervisors and speech pathologists. No opposition testified, and the hearing on SB 1233 concluded without a vote in the transcript. The committee next heard House Bill 2999, a contested optometry scope-of-practice bill. The sponsor and supporters described it as a negotiated compromise to codify certain procedures optometrists say they already perform, while ophthalmologists argued it should not expand into surgical procedures and raised patient-safety concerns. Witnesses on both sides debated whether the bill would clarify or freeze scope of practice, whether it would improve rural access, and whether some procedures such as lasers or collagen cross-linking should be considered surgery. The bill drew both support and opposition testimony, but no committee action or vote is shown in the transcript. Finally, the committee heard House Bill 2957 on respiratory therapist licensing. The sponsor and the Missouri Society for Respiratory Care said the bill would raise the entry standard from the CRT credential to the higher RRT credential for new applicants after January 1, 2027, while grandfathering current CRTs and requiring proof of active credential at renewal audits. Supporters said this reflects current training standards and improves patient safety; no opposition testified in the transcript, and no vote is shown.

Transcript Highlights:

• Let's say we have a high-risk heart condition, we got diabetes, we got multiple things going on.
• Let's say we have a high risk, you know, heart, we got diabetes, we got multiple things going on, we
• But in North Dakota, we have over 50,000 people with diabetes.
• And we have another 180,000 plus that have pre-diabetes.
• That have pre-diabetes. So if we use AI, can we prevent them from becoming full-blown diabetics?

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• Type 1 diabetes has already dealt with obesity in the past 40 years in the adult population.
• In San Antonio, you mentioned diabetes in your bill layout.
• We have some of the highest numbers of diabetes.
• It starts with hypertension. and diabetes and it ends up with people being on dialysis.
• The type two diabetes that we're seeing in the early onset of diabetes.

Bills: SJR18, SCR9, SCR13, SB10, SB11, SB19, SB20, SB25, SB62, SB260, SB263, SB293, SB314, SB384, SB412, SB441, SB442, SB494, SB523, SB569, SB616, SB688, SB707, SB766, SB842, SB869, SB890, SB914, SB929, SB971, SB992, SB1066, SB1145, SB1621, SJR36, SJR18, SCR9, SCR13, SB616, SB565, SB384, SB372, SB495, SB842, SB971, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SB412, SB20, SB441, SB442, SB1621, SB569, SB314, SB25, SB293, SB914, SB260, SB1248, SB740, SB14, SB1006, SB20, SB25, SB260, SB293, SB314, SB384, SB442, SB494, SB616, SB869, SB890, SB929, SB992, SB1145, SB1621, SR232, SR237, SR242, SB16, SB22

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, Supreme Court, judicial independence, Keep Nine, checks and balances, water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, education, Ten Commandments, public schools, religious display

Transcript Highlights:

• This is Senate Bill 958 on type 1 diabetes early detection.
• Madam Chair, Senate Bill 958, Diabetes Early Detection.
• the Florida school districts, to develop information materials for the early detection of type 1 diabetes
• The early detection of type 1 diabetes is to be provided to the school districts, school boards, and
• She knows how diabetes is prevalent in the school districts, and so I look forward to working with you

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.

Transcript Highlights:

• pre-diabetic.
• My mother is diagnosed with diabetes. My father, who has passed, was diagnosed with diabetes.
• So for me to hear the news that I was pre-diabetic was pretty alarming.
• So the long story is you've got to be diabetic before you can get help to prevent from being diabetic
• And am no longer pre-diabetic.

Keywords: 987, senate, all

Transcript Highlights:

• The study must be done in consultation with an interdisciplinary panel of experts on diabetes and related
• Members, unfortunately, Texas leads the nation with some of the highest rates of diabetes and diabetes-related
• over 160,000 Americans undergo amputations, with 80% of those being of their lower limbs caused by diabetes
• When diabetes is not managed properly, it can get to the point where an amputation may be necessary.
• We need more data to fully understand the state of diabetes-related amputations in our state so that

Summary: The Senate convened with an invocation, received a House message that H.B. 422 had passed the House, and heard gubernatorial nominations for the Council on Sex Offender Treatment. The chamber also recognized the Doctor of the Day and several visiting groups and adopted a resolution designating June 20, 2025, as Texas Nuclear Legislative Day. Members then considered and passed several bills and resolutions, often by suspending the regular order and the constitutional three-day rule. SB 311 passed to final passage on the Texas Supreme Court’s writ power. SB 883, on off-label prescription access for COVID-19 treatment, passed to engrossment. SB 1706, creating an Open Meetings Act exception for certain defense, military, and aerospace deliberations, passed despite concerns from Sen. Eckhardt that the bill’s use of “deliberate” could weaken open-government protections. CS SB 1677, directing a study on diabetes-related amputations, passed with support from Sen. Menendez. SB 1967 expanded flood infrastructure fund eligibility to certain multipurpose projects, and SB 1255, a cleanup bill on mold assessor and remediator regulation, passed unanimously. The Senate also approved CS SJR 40 and CS SB 871, which would change emergency and disaster law to require legislative involvement after prolonged or widespread emergencies and to limit gubernatorial suspension powers, with Sen. Eckhardt questioning whether the bill could slow urgent business closures during a disaster. Additional measures passed included SB 1426 transferring management of the First Capital State Historic Site to the Texas Historical Commission, SB 249 requiring TxDOT to fund memorial markers for fallen peace officers, SB 1592 centralizing collection of hotel occupancy taxes from accommodation intermediaries, SB 1271 allowing concurrent jurisdiction on military installations for certain juvenile matters, SB 745 creating a higher penalty for intoxication manslaughter involving multiple deaths, SB 365 shortening the academic fresh start waiting period at public colleges, and SB 1171 adjusting compensation and standards for certain Texas Juvenile Justice Department inspector general employees. CS SB 36, creating a Homeland Security Division within DPS, passed after questions about its relationship to federal homeland security and its focus on border security and critical infrastructure. The latter part of the session focused heavily on CS SB 38, a major eviction and squatter-related bill. Sen. Bettencourt described widespread squatter cases and argued the bill, with a Moody amendment, would clarify notice and eviction procedures while balancing property-owner and tenant rights. Sen. West said he supported addressing squatters but worried the broader eviction changes could harm vulnerable renters, especially single mothers, and said he would vote present not voting. The discussion continued with additional testimony from Sen. Kolkhorst about the need for a balanced eviction process.

Transcript Highlights:

• Unfortunately, diabetes is a diagnosis that's fairly common within North Dakota.
• We actually have two different programs associated with diabetes.
• where if you have diabetes, this is a program that can help you manage those costs.
• Unfortunately, diabetes is a diagnosis that's fairly common within North Dakota.
• We actually have two different programs associated with diabetes.

Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• Helicity is for diabetes and cardiovascular conditions, and Humira is for inflammatory conditions.
• diabetes treatment and blood pressure management.
• The last two bullets here summarize what I said: they are typically covered for diabetes, but not for
• The diabetic monitors that they're changing a lot of those requirements.
• And a diabetic amputation and someone being unable to work for it.

Transcript Highlights:

• out on some of the key aspects of lifestyle medicine, long-term prevention of hypertension, and diabetes
• In 2020 and 2022, I was living with multiple serious health care conditions, including diabetes, hypertension
• As of 2026, I no longer require medications for my diabetes and my hypertension.
• My diabetes is now diet controlled.

Transcript Highlights:

• And if you do that, it's been shown through numerous studies to reduce diabetes, heart disease, hypertension
• shown that if you have a healthy diet, it can reduce the risk in prevention of chronic disease in diabetes
• , heart disease, hypertension... ...reduce the risk in prevention of chronic disease in diabetes, heart
• shown that if you have a healthy diet, it can reduce the risk in prevention of chronic disease in diabetes
• , heart disease, hypertension, reduce the risk in prevention of chronic disease, in diabetes, heart disease

Keywords: 908, all

Summary: The Joint Policy Committee met to hear an overview of North Dakota’s Rural Health Transformation Program before taking up the related policy bills. Department of Health and Human Services staff explained that the state received a $198.9 million CMS award, with funding focused on four pillars: strengthening rural workforce, bringing care closer to home, connecting technology and data, and improving population health through prevention. They emphasized that the program is intended to benefit rural and frontier residents statewide, including areas near urban centers when the project serves rural patients, and that CMS approval, provider readiness, and sustainability will drive what can be funded. Committee members asked about how the program would treat border communities, frontier counties, urban providers serving rural patients, multilingual outreach, tribal consultation, and whether there would be information sessions for applicants. HHS said the website will include sign-up and translation features, more listening sessions and training will be offered, and a rural health tribal liaison will work alongside the existing Medicaid tribal liaison. Members also raised concerns about reimbursement timing, cash flow for providers, and whether projects in urban areas could qualify; HHS responded that urban projects may be eligible if they clearly benefit rural residents. The department then outlined the four policy bills tied to the grant scoring: nutrition continuing medical education for physicians, the presidential fitness test, the physician assistant compact, and pharmacist scope of practice. HHS said these policy actions were incentivized in the federal funding opportunity and that failure to pass them could reduce future funding. The committee did not take final action on the bills in this portion of the transcript and recessed for lunch before moving on.

Transcript Highlights:

• And her concern and her question is: what happens when you have a student who's diabetic and they need
• CS for CS for HB 597 Diabetes Management in Schools by Health Professions and Program Subcommittee.
• But we've got about 7,000 children in Florida schools that have diabetes.
• Some have an emergency diabetes management plan. Thank you.
• Amanda Frazier, American Diabetes Association, waves in support.

Summary: The Education and Employment Committee met with a quorum and took up seven bills, all of which were reported favorably. First, HB 1367 on school attendance was presented as a response to rising chronic absenteeism; it would standardize attendance definitions and reporting statewide, and it passed 18-0 after supportive testimony from education and business groups. HB 949 would prohibit student use of wireless devices during the school day, while allowing district policies for designated use areas and existing medical/disability exceptions; members discussed classroom disruption, bullying, public safety, and accommodations, and the bill passed favorably. The committee also approved PCS for CS for HB 1135, requiring ECGs for student athletes in grades 9-12, with exemptions for religious objections and provisions on cost, liability, and medical clearance; the bill drew extensive emotional testimony from parents and advocates who described children lost to sudden cardiac arrest and was reported favorably after unanimous support. Members then approved CS for CS for HB 597 on diabetes management in schools, which would allow schools to keep glucagon pens and authorize trained personnel to administer them in emergencies; an amendment clarified charter schools are included as public schools. HB 1309 on reading interventions and instruction would expand reading support and training for grades 4-12 and require district reading plans to include evidence-based interventions; it also passed without opposition. CS for HB 981 on athlete representation and compensation would cap certain NIL agent fees, allow some high school athletes to earn NIL compensation, and create a framework for registered advisors; members raised concerns about predatory practices and coach involvement, but the bill passed favorably after amendment. Finally, HB 1111 would eliminate the certificate of completion option for students who do not meet graduation requirements, with the sponsor arguing it would better motivate students to earn a standard diploma and improve postsecondary and workforce opportunities. Members discussed the need for stronger supports to help students meet graduation standards, and the bill was reported favorably. The committee adjourned after completing all agenda items.

Transcript Highlights:

• This is Senate Bill 958 on Type 1 diabetes early detection.
• Madam Chair, Senate Bill 958 on diabetes early detection.
• the Florida school districts, to develop informational materials for the early detection of Type 1 diabetes
• Diabetes information will be provided to the school districts, school boards, and charter schools through
• She knows that diabetes is prevalent in the school districts.

Keywords: 999, senate, all

Transcript Highlights:

• This is diabetes early detection. Senate Bill 958.
• the Florida school districts, to develop information materials for the early detection of type 1 diabetes
• The more education we get out there for families to know the signs, the early signs of type 1 diabetes
• I have a grandson who started, had diabetes at 3. So you're... ...to treatment.
• I have a grandson who started, had diabetes at three.

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• So diabetes, asthma, we do a lot of work with hospital readmission reduction.
• Um so diabetes um different things.
• So we looked at the diabetes prevalence and the obesity prevalence and then selected these three.
• ><c> prevalence</c><00:41:50.560><c> and</c> looked at the diabetes prevalence and looked at the diabetes
• </c><00:42:40.960><c> and</c> Sandy region to address diabetes and Sandy region to address diabetes and

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• or gestational diabetes.
• We're working specifically with the Presbyterian Health System on diabetes education.
• So, all of the foods there are annotated as to where they stand on the diabetic-friendly scale.
• We have diabetic-friendly pantry boxes that are available there, and we do... for people into diabetes
• I think they're running a Diabetes Engage.

Transcript Highlights:

• Committee substitute for Senate Bill 772, a bill to be entitled an act relating to diabetes management
• district or charter school to acquire and maintain undesignated glucagon to treat students with diabetes
• substitute for committee substitute for House Bill 597, a bill to be entitled an act relating to diabetes
• substitute for committee substitute for House Bill 597, a bill to be entitled an act relating to diabetes
• Senator Calatayud to close. ...an act relating to diabetes management in schools.

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several guests and groups in the gallery, including students, business groups, and university basketball coaches. The chamber then moved through a long special order calendar, taking up a series of bills on trust law, school district reporting, debt collection, service of process, lodging and food service establishments, lien waivers, public records protections for Crime Stoppers personnel, foreign ownership/health care licensure issues, diabetes management in schools, platting, fentanyl testing, third-party reservation platforms, electronic landlord-tenant notices, leaving the scene of a crash, background screening for athletic coaches, surrendered infants, and affordable housing. Several bills were temporarily postponed, and multiple House companion bills were substituted where the measures were identical or had only drafting differences. Debate focused on a few measures. Senators questioned the trust code bill’s effect on out-of-state attorneys general; the school reporting bill was described as strengthening arrest and misconduct reporting for instructional personnel; and the service-of-process and lodging bills were presented as technical and consumer-protection fixes. The fentanyl testing bill drew emotional support from the sponsor and families affected by overdose deaths. The surrendered-infant bill prompted opposition over safety, anonymity, and the limited use of baby boxes, while supporters argued it could save lives. The affordable housing bill, updating the Live Local Act, was amended to adjust parking reductions and allow certain properties to use the administrative approval process, with additional limits and exclusions added. Most measures passed overwhelmingly, including the trust code bill, school reporting, debt collection, service of process, lien waivers, public records, foreign-country business interest restrictions, diabetes management in schools, platting, fentanyl testing, third-party reservation platforms, electronic landlord-tenant notices, leaving-the-scene restitution, athletic coach background screening, surrendered infants, and affordable housing. The day’s most divided vote was on the Department of Agriculture and Consumer Services bill, which drew extended debate over fluoride policy and other provisions; it passed 27-9. At the end of the session, the Senate agreed to immediately certify all bills passed that day to the House, recognized a Taiwan-related resolution for the journal, made additional announcements, and adjourned until the next scheduled meeting.

Transcript Highlights:

• GLP-1 medications were originally developed to treat type 1 diabetes and diabetes.
• Given the volume of weight-loss and diabetes shots being produced now...
• I'm interpreting necessary as... ...those that are needed for diabetes, not necessarily those needed
• I interpret that as diabetes.
• It will cover GLP-1s for diabetes, but not just sort of for weight loss.

Keywords: 988, house, all