Transcript Highlights:

• care... ...equation?
• In conclusion, evidence-based collaborative care models show that pharmacists and physicians working
• patient care.
• fragmented care.
• Health care continuum.

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:

• the system of care.
• And access meaningful care.
• Even though it's a lower level of care, it's still care that we're paying for.
• The lower the level of care...
• Even though it's a lower level of care, it's still care that we're paying for.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• Cancer Connect Collaborative, the Cancer Innovation Fund, and the Cancer Connect Collaborative Research
• The collaborative includes members who practice and specialize in oncology care and research, who develop
• Other functions of the collaborative also include ...and patient care in Florida.
• to cancer care.
• settings, including home care.

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• NOT IN AGREEMENT BUT IN COLLABORATION WITH THE BOARD OF MEDICINE.
• EMERGENCY ROOM VISITS AND OVERALL HEALTH CARE SPENDING.
• IN CONCLUSION EVIDENCE-BASED COLLABORATIVE CARE MODELS SHOW PHARMACISTS AND PHYSICIANS WORKING TOGETHER
• PATIENT CARE.
• CARE.

Keywords: 999, senate, all

Transcript Highlights:

• model<00:08:38.640> a making a collaborative care model a making a collaborative care model
• <00:09:20.079> care<00:09:20.440> saves collaborative care saves collaborative care saves
• <00:09:43.079> a collaborative care is not just a collaborative care is not just a theoretical
• <00:17:56.960> care also worked in the collaborative care also worked in the collaborative
• <00:26:55.760> care including what the collaborative care including what the collaborative

Keywords: 1183, house

Transcript Highlights:

• And we also have an exciting new collaboration with a company called Meet Kai.
• Level 3 specializes in caring for survivors of human trafficking.
• system of care.
• facilities and violence in memory care facilities and residents. ...with memory care facilities and
• our system of care formally.

Summary: The committee heard three presentations focused on child welfare workforce development and the needs of children in Florida’s dependency system. First, the Florida Institute for Child Welfare described its Grow Center and related initiatives, including academic curriculum enhancements, simulations, virtual reality training, coaching, on-demand learning, advanced certifications, and the planned Tallahassee learning lab opening in January 2026. Members asked about conflict resolution, domestic violence, addiction, and microcredentials; the presenter said the institute is expanding training in those areas and is working with DCF to align advanced certifications with the department’s career ladder. The Department of Children and Families then presented on the Continue the Mission initiative, which recruits veterans, military spouses, and former law enforcement officers into CPI, API, and case management roles. DCF said it has held more than 240 hiring events and hired 372 such workers since launch, while also improving recruitment and retention through higher starting pay, streamlined hiring, rebranding, wellness supports, and enhanced pre-service training. Senators asked about PTSD concerns, staffing levels, caseloads, hotline vacancies, and salaries; DCF said it had not seen direct PTSD issues from the hiring effort and provided figures including a $50,000 starting salary for CPIs, $37,000 for APIs, and average caseloads of 12 to 15 investigations for CPIs and about 10 for APIs. Finally, DCF discussed the increased acuity of children in the dependency system, explaining that fewer children are entering care overall but those who do often have more complex behavioral, mental health, developmental, or medical needs. The department highlighted a new Behavioral Qualified Residential Treatment Program (BQRTP) designed for youth who need more intensive support than traditional foster or group home settings but do not require inpatient psychiatric treatment; one facility is licensed with 12 of 14 beds filled, and DCF said it is seeking funding for placement for 230 youth total. Members pressed for details on licensure timelines, standards, funding, and the handling of crossover youth and lockouts, and DCF said it uses braided funding and works with DJJ, APD, and lead agencies through local and state review teams. A representative of the Florida Coalition for Children also testified, saying the issue is complex and multi-year, and that the coalition is working on possible legislative and programmatic solutions. The committee took no formal votes and adjourned after the presentations and discussion.

Transcript Highlights:

• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.

Keywords: Call to Order 00:00:00 Roll Call 00:00:35 SB 22 Discussion 00:01:20 SB 22 Vote 00:11:45 SB 100 Discussion 00:15:07 SB 100 Vote 00:38:53 SB 88 Discussion Only 00:42:11 Adjournment 01:03:52, 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on February 18, 2025, and first took up Senate Bill 22 by Senator Reginald Thomas, which was presented as a cleanup measure following prior cosmetology reforms and a Legislative Oversight and Investigations report. The bill would allow cosmetologists to retake exams multiple times with a one-month wait, authorize the Board of Cosmetology to immediately close facilities that intentionally use unlicensed workers while preserving due process, give the board flexibility to hire an executive director based on qualifications rather than licensure, and recognize certain out-of-state or territorial cosmetology licenses. Board officials said the changes were intended to improve fairness, equality, and administrative due process. Senators asked about retesting fees and whether partial retests could dilute standards; Thomas clarified that the exam is cumulative and must be retaken in full. The committee approved SB 22 with all favorable votes, and Senator Meredith explained his support as a workforce and fairness issue. The committee then heard Senate Bill 100 by Senator Jimmy Higdon, as substituted, concerning tobacco, nicotine, and vapor product retail licensing and enforcement. Youth advocates from the University of Kentucky testified in support, describing youth nicotine use as a public health crisis and urging stronger enforcement, annual compliance checks, retailer licensing, and tougher penalties for illegal sales to minors. Higdon said the bill would create a Division of Tobacco, Nicotine, and Vapor Products Licensing within ABC, require licenses for retailers, authorize inspections and confiscation of contraband, impose escalating criminal and civil penalties for unlicensed sales and sales to minors, publish a list of licensed retailers, and dedicate fine revenue to enforcement and youth education. He said the measure targeted bad actors rather than responsible retailers. A retailer witness also supported licensing but raised concerns about contradictory product definitions that could sweep in hemp and medical marijuana vapor products, and asked that the bill be delayed until after an expected Supreme Court decision affecting federal vapor-product rules. The transcript ends during discussion of SB 100, before any committee vote on that bill.

Transcript Highlights:

• Collaborative care is an effective evidence-based model which integrates care into primary care settings
• In 2017, a randomized clinical trial of primary care patients with AUD found that the collaborative care
• I'm just wondering about the collaborative care model.
• You're out also on the collaborative care model.
• I'm also interested in the collaborative care model.

Transcript Highlights:

• And we also have an exciting new collaboration with a company called Meat Chi.
• Collaboration is at the heart of this system.
• Level 3 specializes in caring for survivors of human trafficking.
• These were successfully diverted from entering out of home care each.
• I'm done with our department in this collaborative process, including the lrt.

Keywords: 999, senate, all

Transcript Highlights:

• Shall have a collaboration agreement only if that collaboration agreement is required.
• We will ensure that health care providers can offer evidence-based care without political interference
• personal autonomy for healthc care personal autonomy for healthc care providers<01:17:44.199>
• > care<01:19:16.280> without<01:19:16.719> political Evidence-based care without
• includes being able to receive the care includes being able to receive the care that<01:43:24.440

Keywords: 1191, senate, all

Transcript Highlights:

• That's where we're going to be really coordinating the care, working with non-VA health care-based systems
• <00:04:45.280> Systems starting with our Health Care Systems starting with our Health Care
• > the<00:14:04.880> Minnesota Health Care Homes and then the Minnesota Health Care Homes
• <00:15:10.040> on of rural health and Primary Care on of rural health and Primary Care on
• we're grateful for the collaboration we're grateful for the collaboration with<00:30:49.279>

Keywords: 1187, senate, all

Transcript Highlights:

• Now, if LSCW has a collaborative...” “...Now, if LSCW has a collaborative...” “Spencer.
• . ...care planning and care coordination within our team and with other health care providers that will
• Part of clinical care. Routine clinical care.
• We use them in the hospital setting and the acute care setting to help coordinate care.
• behavioral health care—coordinate care to rehab placement, referrals to in-house nursing care, PT, OT

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• Regional collaboratives unite partners across early care and education, health, family support, Head
• In addition to the important work of the regional collaborative network, early care and education workforce
• Regional collaboratives unite partners across early care and education, health, family support, Head
• Regional collaboratives unite partners across early care and education, health, family support, Head
• Regional collaboratives unite partners across early care and education, health, family support, Head

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:07 Chair Comments 00:00:36 Approval of Minutes 00:04:01 Volunteers of America 00:04:21 Soil and Water Conservation/Energy and Environment Cabinet 00:14:52 Kentucky Office of Drug Control Policy/Justice & Public Safety Cabinet 00:21:05 Kentucky Department of Agriculture 00:26:01 Early Childhood Advisory Council 00:45:18, 958, all

Summary: The Tobacco Settlement Agreement Fund Oversight Committee met to review how tobacco settlement dollars are being used and to press recipients for detailed information on total funding, administrative versus program spending, and measurable outcomes. The chair emphasized that the committee was not there for general program overviews, but to assess return on investment and whether each program should continue to receive tobacco settlement support. The committee approved the minutes from its December 22, 2025 meeting and then heard presentations from several agencies and organizations. Volunteers of America Mid-States described its southeastern Kentucky restorative justice program, which uses an evidence-based New Zealand model for juvenile cases in nine counties. The group reported tobacco settlement funding of $516,000 in FY24 and $233,500 in FY25, representing about 17% and then about 5% of the program budget, respectively. It said the funding helped expand the program from 13 cases in 2021 to 180 youth served, and cited an independent evaluation showing recidivism of 24.5% compared with 40.4% in AOC data, along with a cost of a little under $20 per day versus detention and other placements. Some members questioned whether the program fit the tobacco settlement funding categories and suggested it might be better supported through other justice-related funding sources. The Energy and Environment Cabinet’s Division of Conservation explained that tobacco funds support $1 million in direct aid to conservation districts and $2 million in cost-share projects for farmers, with 5% of the cost-share appropriation allowed for administration, or about $100,000 in FY26. Officials said the direct-aid line was moved into tobacco funding in 2019, reducing money available for farmer cost-share, and described a multi-year project approval and reallocation process. Senator Webb asked for a more specific breakdown of the $850,000 direct-aid amount, and the cabinet said it would provide that information. The Kentucky Office of Drug Control Policy reported that in FY24 it expended just under $30 million across tobacco funds, general funds, restricted funds, and a one-time federal grant, with less than 2% used for administration. Officials said most tobacco settlement money goes to Kentucky ASAP local boards in all 120 counties, supporting prevention, treatment, and some law enforcement work. The Department of Agriculture then began its presentation, describing strategic investments, loan programs, county funding, administrative costs, and a reported return of about $2.30 for every dollar spent, but the transcript cuts off before that presentation was completed.

Transcript Highlights:

• Our regional collaboratives.
• , that that care is available.
• care is available.
• of that care.
• And increase in individuals accessing care and the timeliness of that care.

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• are changing so rapidly and the deficit that we have in health care as far as health care providers,
• areas were left without care.
• So, our broad preventative care.
• How close is this collaboration?
• Collaboration changes over time.

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• care uh the majority of school age care really<00:09:31.079> comes<00:09:31.279> from<
• uh that's that school age child care uh that's that school age child care Levy<00:09:37.040>
• in those out of school time Child Care in those out of school time Child Care settings settings
• expansion of the school age child care expansion of the school age child care Levy<00:15:06.639>
• They come in multiple times to provide dental care through cleanings and different care.

Keywords: 1187, senate, all

Transcript Highlights:

• health by providing whole-person, cost-effective, accessible care.
• That means behavioral health care. That means substance use care. That means full-person care.
• That means behavioral health care. That means substance use care. That means full-person care.
• Issues, access to care, need, waiting list, all of those things, longevity of care, and really a description
• Regional Planning Collaborative. Next slide, please. Regional Planning Collaborative.

Bills: HB1

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

Transcript Highlights:

• Collaboration is something that happens every day in the health care team based on the real-time needs
• Care improves with appropriate physician-led, team-based care models, which promote oversight and collaboration
• That hurt my feelings because I believe in collaboration of care.
• So, the incentive for me to collaborate and work with my APRN colleagues is that I'm able to care for
• I'm talking with the patient, making diagnoses, collaborating with colleagues in palliative care.

Bills: SB1888, SB3003, SB2417, SB2459, SB3055, HB1393, HB2884, SB2943

Keywords: grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy

Transcript Highlights:

• We obviously know child care is a huge component of the work needs to happen.
• We obviously know child care is a huge component of the work needs to happen.
• So it's, it's, it's, it's, to local educational agencies to the collaborative.
• as well because we have to start collaborating better and working together.
• There are 13 collaboratives, and then numerous pathways from each one.

Summary: The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side. The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes. On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork. Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.

Transcript Highlights:

• <01:36:07.280> care<01:36:07.639> saves collaborative care saves collaborative care saves
• /c> collaborative care model and give collaborative care model and give examples<01:37:16.880> of<
• ><01:37:49.599> all collaborative care model to you all collaborative care model to you all which
• <01:38:02.920> care treatment settings collaborative care treatment settings collaborative
• Care the collaborative care Rural Health Care the collaborative care model<01:47:33.080> is<01

Keywords: 1187, senate, all