Transcript Highlights:

• plans, as well as the NAIC health statements that we receive from them.
• plans, as well as the NAIC health statements that we receive from them.
• We also receive the annual audited financial statements, their statutory accounting, their SAP statements
• We also review the audited financial statements... ...the underlying data.
• And then we review the NIC annual statement and the disclosures in their audited statements.

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• Under this bill, will the physician be able to give me a paper prescription?
• At that time, quite frankly, both physicians' offices—the original physician and the one to whom they've
• I'm an MD, internal medicine physician.
• I'm an MD, internal medicine physician, working in hospitals as the primary attending physician.
• Please ensure that patients know that a physician, and in that case a specialist, is actually a physician

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• , and physician assistant or PA.
• ,<00:21:09.280> and registered nurse or APRN, physician, and registered nurse or APRN, physician
• physician assistant or PA. physician assistant or PA.
• , states that in addition to physicians, states that in addition to physicians, APRNs<00:22:07.679
• <00:23:45.760> licensed the care of a physician licensed the care of a physician licensed

Keywords: 926, house, all

Summary: The House opened with a devotional for Yom Hashoah, Holocaust Memorial Day, delivered by Rabbi Grace Odell. Her remarks focused on remembrance of the Holocaust, warning against dehumanization, and urging lawmakers to act from love rather than fear. Members then observed a moment of silence and heard announcements recognizing visitors, including students from Orwell Village School and guests from the Vermont Holocaust Memorial. The chamber took up several procedural and legislative items. House Bill 574, relating to epinephrine use and maintenance at child care facilities, was moved from the House Committee on Human Services to the Committee on Education and approved by voice vote. The House also announced caucus and committee schedules, including meetings of the Rural Caucus and Older Vermonters Caucus. Later, the body reordered its calendar and prepared to recess after completing action on the day’s bills. On Senate Bill 163, concerning the role of advanced practice registered nurses in hospital care, the House Health Care Committee recommended amendment, explaining that the bill updates the Patient Bill of Rights to reflect current hospital practice, especially in rural hospitals, by recognizing APRNs and physician assistants as possible attending providers. The committee reported a 10-0-0 vote in support, and the House agreed to propose the Senate amendment and ordered third reading. The House also concurred in the Senate proposal of amendment to House Bill 508, which revises Burlington’s charter so the city council can adjust ward and district boundaries when needed to correct unconstitutional population divisions without requiring a charter change; the Government Operations and Military Affairs Committee reported a 9-0-1 favorable straw poll. After these actions, the House recessed briefly while the committee continued hearing amendments.

Transcript Highlights:

• It's not a reflection of those physicians at all; they do great jobs.
• I'm a physician.
• For a lot of years, I was in the United States Army as a physician.
• a long way, you know, see the physician, and then...
• Some were physicians, and we saw no difference.

Bills: SB2, SJR36, SB2, SB2, SR29, SB2

Keywords: Maverick County, recognition, economic development, Texas Senate, community celebration, 1185, senate, all

Transcript Highlights:

• So, um no question in there, just a statement.
• here that uh a think one statement here that uh a testifier<00:28:41.160> wrote<00:28:41.480>
• <00:29:53.000> I question in there, just a statement.
• I question in there, just a statement.
• <01:59:35.160> is<01:59:35.320> to As a physician, my responsibility is to As a physician

Keywords: 1187, senate, all

Transcript Highlights:

• of over 32,000 denied applications, less than 200 were because the application contained false statements
• . statements. statements.
• It is in a case where an applicant makes an intentional false statement or representation in an effort
• or representation in an false statement or representation in an effort<00:34:35.359> to<00:34
• medical providers nurse know physicians medical providers nurse practitioners<01:56:37.920> they<

Keywords: 1183, house

Transcript Highlights:

• <00:24:34.840> that<00:24:35.000> has have um a written statement that has have um
• a written statement that has citations<00:24:35.679> for<00:24:35.840> all<00:24:35.960
• What we're trying to do with the continuing medical education is to have more physicians, nurses, and
• My transparency statement: there is no external funding for this presentation.
• <01:15:24.800> um cannabis so my transparency statement um cannabis so my transparency statement

Keywords: 910, house, all

Transcript Highlights:

• My name is Martha Karshair, and I'm a retired family medicine physician.
• My name is Martha Carrshaer, and I'm a retired family medicine physician who has spent most of my professional
• We didn't have any budget; we just have volunteers, and we put our candidate statements on the web and
• for a board election we didn't have any budget we just have volunteers and we put our candidate statements

Keywords: 995, all

Summary: The Joint Committee on Election Laws held a public hearing focused primarily on ranked choice voting (RCV) legislation and several local home rule petitions, along with one petition to authorize remote participation in Concord town meetings. Chairs Keenan and Hunt outlined hearing procedures and noted the committee would hear both in-person and virtual testimony. The committee also took testimony on Concord’s request for remote participation in open and special town meetings, with supporters arguing it would make town meeting more accessible to residents with childcare, mobility, work, or disability barriers while preserving direct democracy. A large portion of the hearing centered on RCV local-option bills and municipal petitions from communities including Concord, East Hampton, Salem, Chelsea, Arlington, Revere, Amherst, and others. Supporters—among them local officials, legislators, election advocates, educators, veterans, and nonprofit leaders—said RCV would reduce vote-splitting, encourage more candidates, promote more positive campaigning, improve representation, and increase turnout. East Hampton officials described their existing use of RCV, saying it produced record turnout, was easy for voters to understand with education, and could be expanded to multi-winner races without major added cost. Concord and Amherst witnesses said their voters had already approved local steps toward RCV and urged the committee to let municipalities implement the system without further delay. Testimony in favor of the local-option RCV bill emphasized home rule and local control, with several witnesses arguing the state should not block communities that have already voted to adopt RCV. Speakers from MassVOTE, the AFT Massachusetts, Voter Choice Massachusetts, Progressive Massachusetts, the Boston Teachers Union, and Veterans for All Voters said the reform would strengthen democracy, broaden participation, and save money by avoiding low-turnout preliminary elections. Some witnesses also referenced examples from Cambridge, Maine, and Utah to argue that RCV is workable, nonpartisan, and familiar to voters. The hearing ended with no votes or final committee action taken in the transcript provided.

Transcript Highlights:

• letter portal on the Assembly Education Committee website and before we begin I have a standard statement
• I am a physician and a parent. And I oppose this bill. Good morning.
• Academy of the Sciences and Arts, Physicians for Social Responsibility, Sacramento, Pride at the Pier
• California's Vice Chair of the California Latino Legislative Caucus, she is here to make a a couple of statements

Keywords: 988, house, all

Transcript Highlights:

• Hancock, ruling that certain practices of health-benefited plan issue a certain curse that certain physicians
• and healthcare providers should rank physician and for the committee on insurance.
• SB 1019 by Huffman ruling the admissibility of certain hearsay statements of the and certain sexual assaults
• SB 1343 by Johnson relating to the notice requirements of a data broker registration statement and internet

Bills: HB14, HJR31, HB43, HB18, HB 106, HB36, HB26, HB149, HB 121, HB206, HB136, HB3114, HB2733, HB1732, HB3700, HB467, HB 1130, HB1846, HB1442, HB 1147, HB2176, HB2701, HB805, HB2890, HB 1154, HB1644, HB2118, HB1718, HB2488, HB2596, HB1971, HB2468, HB484, HB2578, HB3204, HB 1041, HB307, HB685, HB1710, HB538, HB2525, HB3125, HB2027, HB2894, HB3077, HB3684, HJR99, HB1399, HJR5, HB1330, HB2110, HJR2, HJR6, HB1587, HB14, HJR31, HB43, HB18, HB 106, HB36, HB26, HB149, HB 121, HB206, HB136, HB3114, HB2733, HB1732, HB3700, HB467, HB 1130, HB1846, HB1442, HB 1147, HB2176, HB2701, HB805, HB2890, HB 1154, HB1644, HB2118, HB1718, HB2488, HB2596, HB1971, HB2468, HB484, HB2578, HB3204, HB 1041, HB307, HB685, HB1710, HB538, HB2525, HB3125, HB2027, HB2894, HB3077, HB3684

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, farm products, tax exemption, ad valorem taxation, agriculture, Texas Constitution, livestock, producer, finance, young farmers, financial assistance, pest control, rural health, hospital funding, healthcare access, mental health services

Transcript Highlights:

• , physician assistants, chiropractors, podiatrists.
• , physician assistants, chiropractors, podiatrists.
• Salzman: What about a physician assistant? >> Rep.
• So some physicians actually contract... ...out the work to physician assistants and other levels of doctor
• You said this would be allowed by a physician.

Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.

Transcript Highlights:

• So this is a statement directly from our interim CEO, Don Ellen Schneider.
• From my conversations with physicians across the state, many Missouri hospitals do not have the ability
• So their business model is that it's not necessary to have a physician setting dosages and prescribing
• Physicians, for example—at least I know that recently has changed—that substance use disorder training
• But if they were to put the cat—if I were to talk to other physicians—and if they were to look at this

Keywords: 959, house, all

Transcript Highlights:

• one cultivator license issued to any person or entity, a limit on the fee charged by a certifying physician
• one cultivator license issued to any person or entity, a limit on the fee charged by a certifying physician
• <00:32:28.159> by<00:32:28.240> a<00:32:28.360> certifying<00:32:28.880> physician
• <00:32:29.240> for chared by a certifying physician for chared by a certifying physician for
• Um, since this is an HCDA community district, is an environmental impact statement required, or an assessment

Keywords: 912, senate, all

Summary: The committees considered a large number of Senate bills, with many measures advanced either unamended or with technical or substantive amendments. Early action included SB 88 and SB 11 SD1, both passed unamended, and SB 562 SD1 and SB 642 SD1, which were passed with amendments reflecting agency testimony. SB 1133 SD1 was amended to remove duplicative county requirements and clarify tax credit carry-forward eligibility, while SB 1569 SD1 on sports wagering was deferred. Later, SB 933 on nonprofit/federal funding support drew strong testimony from nonprofit and health advocates emphasizing the risk of federal funding freezes and the importance of protecting services such as early learning, domestic violence support, housing, and workforce supports; the committee recommended amendments to define eligible organizations, require reporting, and include the Judiciary. SB 934 and SB 935 were also amended, with SB 934 tying mass transit funding to Honolulu project milestones and SB 935 revising retirement-system language to change “fewer than five years” to “five or more years.” The committees then took up additional measures with targeted amendments. SB 1033 was amended to clarify that the bill applies to legal entities, not individuals, though members noted concerns about closely held family corporations and asked that the issue be reflected in the committee report. SB 1166, SB 1249, and SB 1256 were advanced with amendments or committee-report notes reflecting concerns from the Attorney General, Hawaii Cattlemen’s Council, and Hawaii Farmers Union United, respectively. SB 1432 and SB 137, both relating to electric utilities, were amended to require retention of covered employees after mergers or acquisitions and to direct the PUC to consider whether proposed transactions further state policy goals. SB 157 on antitrust was narrowed to focus on coordinator conduct in rental housing markets, SB 252 on invasive species received a defective effective date, and SB 336 on defense of state employers and employees passed unamended. SB 536 on the Hawaii Community Development Authority was deferred to a later hearing, and SB 1064 on medical cannabis was heavily amended to authorize cultivator licenses with limits on canopy size, license counts, physician fees, and a special-fund appropriation for enforcement. In the Ways and Means portion, the committee passed several bills unamended, including SB 19, SB 124, SB 264, SB 345, SB 422, and SB 741 and SB 747 later in the agenda. SB 361 was amended to remove references to the attorney general and delete an appropriation section, SB 438 was amended to redefine buffer zones and landfill-unit language, and SB 441 and SB 494 were amended to blank appropriations and, in SB 494, assign charter-school audit responsibility to the state auditor. SB 659 was substantially amended to promote local procurement, including county-level geographic preferences and higher thresholds for locally sourced purchases, and SB 732 was amended to adjust film tax credit provisions, including the streaming-platform definition and sunset-related language. SB 819 was amended to replace references to “educators” with “teachers.” Throughout, most measures were adopted without recorded opposition, though several members noted reservations on particular bills.

Transcript Highlights:

• This is why it is so important for a physician to be involved.
• dealt with, as my physician is all the time.
• But again, the physician doesn't have necessarily, I understand what you're saying, but the physician
• I'm here to present SB 849, a bill that addresses physician sexual misconduct.
• We have trained and licensed physicians that have been... Free country.

Summary: The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt. The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support. Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health. The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.

Transcript Highlights:

• One was House Bill 2401, which added a new continuing education requirement for physicians for them to
• No small entity economic impact statement was required because none of the proposed rules will have an
• A regulatory analysis or economic impact statement on small entities was not required by North Dakota
• A small entity regulatory analysis and impact statement were done on the proposed rules, although it
• A small entity regulatory analysis and small entity economic impact statement were prepared and also

Keywords: 908, all

Transcript Highlights:

• And the floor statement, do we have any volunteers for the floor statement?
• So you get the Floor statement, do we have any volunteers for the floor statement?
• Senator Scheible, you spoke up first, so you get the floor statement.
• I will ask if we have any takers for the floor statement. Okay.
• Thank you so much for taking that floor statement for Assembly Bill 483.

Keywords: 909, all

Transcript Highlights:

• David Gonzalez, on behalf of America’s Physician Groups, in support.
• This is why it is so important for a physician to be involved.
• dealt with, as my physician is all the time.
• But again, the physician doesn't have necessarily, I understand what you're saying, but the physician
• We have trained and licensed physicians that have been...

Keywords: 988, house, all

Transcript Highlights:

• Sometimes that's a physician.
• Sometimes that's a physician. field. Sometimes that's a physician.
• statement of completely and honestly. statement of completely and honestly.
• <02:21:21.600> Would statement. This law would do that. Would statement.
• disagree with that statement. That being disagree with that statement.

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.

Transcript Highlights:

• see your physician, as long as there's a protocol under which they would do that.
• see your physician, as long as there's a protocol under which they would do that.
• Physicians and pharmacists have been entering into collaborative practice agreements...
• They are built upon a foundation of trust between physicians and pharmacists and patients.
• They have incredible medical conditions that require direct physician involvement.

Summary: The Appropriations Committee on Health and Human Services took up two bills. Senator Burgess presented SB 116, the Senate Veterans Package, which would reduce the number of Veterans Hall of Fame nominations, expand FDVA health survey and coordination efforts, add mental health training to the veterans suicide prevention pilot program, fix statutory references, improve coordination between Veterans Florida and FDVA, and require FDVA to develop a plan for adult day health care facilities for veterans and their families. An amendment was adopted to appropriate $300,000 for the suicide prevention training pilot and $50,000 for the health survey. The bill was supported in debate, especially for the adult day care provision, and CS/SB 116 was reported favorably by roll call vote. The committee then heard SB 294 by Senator Harrell, which would exclude specified cardiac conditions—such as heart failure, coronary heart disease, and cardiac arrhythmias—from the list of chronic health conditions that may be managed under collaborative pharmacy practice agreements. Senator Harrell argued that these complex conditions require direct physician involvement and that pharmacists should not be making medication changes for severe cardiac patients based on protocols alone. Senator Rouson asked why heart conditions had been included previously, and Vice Chair Davis asked about fiscal impact; Harrell said there would be no state cost, though patients might face additional out-of-pocket expenses, which she said could be offset by avoiding more serious complications. Public testimony on SB 294 was divided. The Florida Pharmacy Association opposed the bill, arguing that collaborative practice agreements are voluntary, physician-controlled, and already include safeguards, and that pharmacists are highly trained to help manage chronic conditions and improve access and outcomes. A cardiologist with the Florida Chapter of the American College of Cardiology supported the bill, warning that cardiac patients are complex and that pharmacists may make dangerous decisions without the full clinical picture. Senator Burton also supported the bill, saying the original collaborative practice framework was not intended to let pharmacists diagnose or treat serious cardiac disease. SB 294 was then reported favorably by roll call vote. At the end of the meeting, Senators Rodriguez and Garcia asked to be recorded in the affirmative on SB 116, and the committee adjourned without further business.

Transcript Highlights:

• <00:01:12.479> go years of training that Physicians go years of training that Physicians go
• <00:02:21.720> they supervision of another physician they supervision of another physician
• <00:11:00.519> and international to train Physicians and international to train Physicians
• pathway for foreign trained Physicians pathway for foreign trained Physicians to<00:16:14.399>
• <00:21:22.679> so to to a very competent uh physician so to to a very competent uh physician

Keywords: 1187, senate, all