Transcript Highlights:

• treatment versus a revocation.
• , psychological treatment, or physical rehabilitation.
• , psychological treatment, or physical rehabilitation.
• before a hearing on medical parole or medical treatment furlough.
• , psychological treatment of physical rehabilitation.

Bills: HR112 , HR113 , HR114 , HCR51 , HCR52 , HR94 , HR95 , HR96 , HR97 , HR98 , HR99 , HR100 , HR103 , HR104 , HR105 , HR106 , HR107 , HR108 , HR109 , HR110 , HR111 , HCR46 , HCR47 , HCR48 , HCR49 , HCR50 , SCR25 , SB17 , SB300 , HCR35 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB647 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB839 , HB860 , HB873 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1157 , HB1179 , HB1200 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR45 , HB54 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB245 , HB280 , HB283 , HB296 , HB319 , HB339 , HB399 , HB407 , HB448 , HB550 , HB591 , HB826 , HB995 , HB1085 , HB1086 , HB98 , HB108 , HB131 , HB151 , HB161 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB540 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB987 , HB1040 , HB827 , HB953 , HB796 , HB352 , HB463 , HB735 , HB780 , HB882 , HB81 , HB400 , HB140 , HB750 , HB911 , HB961 , HB401 , HB901 , HB9 , HB52 , HB58 , HB154 , HB193 , HB284 , HB410 , HB570 , HB577 , HB582 , HB605 , HB733 , HB868 , HB952

Summary: The House met with a quorum, opened with prayer and the pledge, and received several Senate messages and enrolled resolutions. The chamber also recognized visiting groups and guests, including a guest minister, the Joe Burrow Foundation, Youth Legislature participants, children’s advocacy center representatives, Alzheimer’s advocates, Delta Sigma Theta members, Kappa Alpha Psi members, Big Brothers Big Sisters, and City Year AmeriCorps. The House adopted a series of commemorative and awareness resolutions, including measures for Sanfilippo Syndrome Awareness Day, Alzheimer’s and Related Dementia Awareness Day, Knock Knock Children’s Museum Day, Big Brothers Big Sisters Day, Delta Sigma Theta Sorority Day, Kappa Alpha Psi Fraternity Day, My Sister’s Keeper Day, Youth Legislature recognition, and several commendations and condolences. It also concurred in SCR 25 and received Senate resolutions and bills, including measures on commercial driver’s licenses, Medicaid eligibility during redetermination, postsecondary support fund use, juvenile traffic violations, background checks, and explosives regulation. The House then considered and advanced a long list of bills, largely on criminal justice, education, public safety, transportation, and administrative procedure. Notable measures included bills on parole and probation alternatives, supervised release venue for sex-offender violations, jail-credit limits on consecutive sentences, medical parole notice, juvenile parole eligibility cleanup, teacher and school employee battery penalties, inmate workforce cleanup, re-entry programming for female parolees, extradition costs for probation/parole violators, and a bill allowing public postsecondary institutions to permit self-defense chemical sprays. Other bills addressed protected personal information for certain public officials, the M.J. Foster Promise Program eligibility age, scholarships for spouses of firefighters and police officers, compensation for parish board commissioners, paid family leave insurance as a voluntary private-market product, insurance referral practices, and vehicle inspection sticker requirements. Several bills were amended and passed, often with strong or unanimous support, while a few were recommitted or returned to the calendar. The House passed HB 504 on parole violations as alternatives to revocation by a vote of 88-0; HB 73 on electronic voting in public meetings by 88-0; HB 125 on supervised release venue by 91-0; HB 67 on protected information records by 98-1; HB 133 on assault and battery penalties for teachers by 96-0; HB 158 on probation technical violations by 92-3; HB 168 on a female parolee re-entry program by 95-0; HB 169 on extradition costs by 92-3; HB 191 on overlapping jail credit by 88-5; HB 195 on self-defense chemical sprays on campus by 93-0; HB 245 on medical parole notice by 95-0; HB 280 on juvenile parole eligibility cleanup by 93-0; HB 283 on sick leave and discipline rules for attacked school employees by 97-1; HB 296 repealing inactive inmate workforce provisions by 88-5; HB 319 on civic education commission quorum by 98-0; HB 339 on protected information for police officers and retired judges by 97-0; HB 407 on the M.J. Foster Promise Program age reset to 21 by 94-2; HB 448 on scholarships for spouses of firefighters and police officers by 95-0; HB 550 increasing parish board commissioner pay from $50 to $100 per day by 91-2; HB 591 creating a voluntary paid family leave insurance product by 95-0; and HB 826 modernizing insurance referral rules by 93-0. HB 1085, a major proposal to eliminate traditional vehicle inspection stickers and replace them with a new sticker/QR-code system tied to registration, drew extensive questioning about costs, enforcement, local parish programs, and where the fee revenue would go; the debate was ongoing in the portion provided.

Transcript Highlights:

• </c> on Human Services. on Human Services.
• </c> no-cost telecommunication services. no-cost telecommunication services.
• </c> service organizations. service organizations.
• </c> of healthcare services. of healthcare services.
• </c> on Human Services as amended? on Human Services as amended?

Transcript Highlights:

• services, is also included.
• You know, yes, residential treatment and that downstream.
• Because the opioid treatment initiative is much needed.
• The injectable opioid treatment program is much needed.
• We need to really take into our clinical treatments, social treatments. As you described them.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• </c> engaged into treatment. engaged into treatment.
• . treatment. treatment.
• </c> rates and mental health services. rates and mental health services.
• We are a small service.
• </c> keep treatment accessible. keep treatment accessible.

Committee: Senate Health and Human Services

Transcript Highlights:

• treatment protocol would be and the appropriate storage time.
• the treatment protocol would be whatever the treatment protocol would be and<00:49:36.640><c> the</c
• This is actually treatment for the patient they’re requesting.
• I was diagnosed with multiple treatment.
• This is also a treatment that could benefit her.

Bills: HB0028 , HB0080

Committee: Senate Labor, Health & Social Services

Transcript Highlights:

• treatment services.
• As I said, we don't have any services now, so any services we get... ...would be great.
• They're very intermingled, and those RISE programs provide lots of services for the treatment court participants
• and a DWI treatment court.
• Finally, the executive recommendation includes $7,500 more in contractual services for existing pre-treatment

Committee: House House Appropriations & Finance

Transcript Highlights:

• , forcing them to make hard choices between needed treatments.
• dependency on opioids and other costly treatments.
• Chow from Northeast Medical Services. Thank you.
• When treatments are far apart, the therapeutic benefit is reduced.
• I'm a true believer in this service, having been a recipient of it.

Summary: The Senate Committee on Health heard presentations on several bills, beginning with AB 1734, which would expand California Health Interview Survey food insecurity data collection to households up to 400% of the federal poverty level. The author and supporters from food banks, AARP, county governments, and nutrition groups argued the bill would improve California’s ability to measure hunger amid federal cuts; there was no opposition. The committee also heard AB 1949, which would treat acupuncture as its own Medi-Cal benefit and allow up to 24 visits per year. Supporters said the current two-visits-per-month cap limits effective treatment and can increase reliance on medications; the bill drew broad support and no opposition. AB 1910, a postpartum pelvic floor health bill, was presented as an education and awareness measure encouraging patients to discuss pelvic floor concerns with providers, with no opposition. AB 2011 would codify federal mental health parity standards into state law; supporters said it would preserve enforcement if federal rules are rolled back, while insurers opposed it as premature given ongoing federal litigation and possible new rules. AB 2706 would modernize California’s cannery law to align with federal food safety standards and reduce duplicative requirements for food processors, with support from the dairy industry and no opposition. AB 2041 would require certain public safety agencies to report compliance with 911 dispatcher pre-arrival instruction training requirements, building on prior legislation; it also faced no opposition. After quorum was established, the committee voted on the bills. The consent calendar bills AB 1571, AB 1864, and AB 1956 were approved 6-0. AB 1734, AB 1910, AB 1949, AB 2041, and AB 2706 all passed the committee unanimously or near-unanimously and were re-referred to Appropriations or Education as applicable. AB 2011 passed 8-2, with some members expressing concern about federal litigation, implementation costs, and the timing of codifying the 2024 parity rule into state law. All bills were placed on call after the votes, and the committee adjourned after completing its agenda.

Transcript Highlights:

• </c><00:05:09.639><c> that</c> to provide the array of services that to provide the array of services
• We are a medical service first.
• </c><00:17:17.199><c> that</c> for the the specialized services that for the the specialized services
• It interrupts treatment regimens.
• and services until they can treatments and services until they can more<01:55:44.440><c> afford</c><

Committee: Senate Health and Human Services

Transcript Highlights:

• And $13.4 billion, about 9.4%, is for developmental services.
• Would OYCR be engaged in how services are going to be provided, and how effective services are going
• drills of O&E reductions, personnel services reductions.
• drills of O&E reductions, personnel services reductions.
• So that is... ...despite this demand and services.

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• Klein, briefed this committee on the mental health services. And supported by Dr.
• The difference between the 550-bed and mental health treatment facility.
• The difference between the 550 bed and mental health treatment facility.
• So if I can back up, The 550-bed mental health treatment facility.
• My conversations with the people in the department, health services, and construction was a lot of treatment

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• transmitted diseases, mental health services, substance abuse treatment, etc.
• Within the bill analysis, it outlines some of those particular services, such as treatment for sexually
• transmissible diseases, mental health services, and substance abuse treatment.
• And these services are life-saving.
• , or for mental health services that are below two visits within a week and just diagnosis, or the treatment

Committee: Senate Education Pre-K - 12

Summary: The committee on Pre-K through 12 Education took up SB 1288, a parental rights bill by Sen. Grall, which would expand the Parents Bill of Rights to require written parental consent for minors’ medical care and prescriptions, give parents access to medical records, require parental review/consent for surveys and questionnaires, and restrict use of biofeedback devices without parental permission. The sponsor said the bill is intended to restore parents’ role in major medical decisions and to address concerns about schools or providers collecting sensitive information from children without parents’ knowledge. She said she was open to clarifying language, especially around exceptions and definitions, but maintained that parents should generally be the decision-makers. Committee members pressed the sponsor on how the bill would affect minors who are abused, homeless, estranged from parents, or otherwise without a safe guardian, as well as access to STI treatment, mental health care, contraception, and care after sexual assault. The sponsor repeatedly said children in unsafe situations should come into the child welfare or law enforcement system and that she was open to changes for truly unsafe or unavailable parents, but she rejected the idea that the bill was merely about notification rather than consent. She also defended the survey provisions as a way to stop routine questioning of children about suicide and other sensitive topics without parental awareness, and said the biofeedback language was aimed at school settings where data about children’s anxiety or stress is allegedly being shared with classmates. Public testimony was heavily divided, with many speakers opposing the bill and describing personal experiences with abuse, rape, mental health crises, lack of supportive parents, and the need for confidential access to birth control, STI testing, and counseling. Opponents argued the bill would delay care, endanger vulnerable minors, and reduce access to medically necessary services and surveys that can identify risk. Supporters said the bill would restore parental authority, improve transparency, and protect children from inappropriate surveys and biometric monitoring. During debate, Sen. Berman and Sen. Davis opposed the bill, saying it conflicts with existing law and could harm vulnerable youth, while Sen. Yarborough supported it, arguing that not all parents are bad actors and that the state should not treat all families as if they were. The transcript ends with debate underway and no final vote or action recorded.

Transcript Highlights:

• Many wastewater treatment facilities already recover some waste heat internally for their own processes
• wastewater treatment facilities Many wastewater treatment facilities already<00:01:56.760><c> recover
• > facilities</c> because wastewater treatment facilities because wastewater treatment facilities across
• </c> Services in the city on Clean Heat St. Services in the city on Clean Heat St.
• </c> hundreds of wastewater treatment hundreds of wastewater treatment facilities,<00:03:59.800><c> some

Transcript Highlights:

• Poor people in nursing homes cannot afford those services.
• People who need cancer treatment, people who need heart surgery are being denied those treatments because
• That authority rests with the Public Service Commission.
• You're not giving them good service.
• If service is not good, why would you pay?

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• This is a treatment guideline. Yes, sir.
• The rest don't have treatment guidelines. Website. The rest don't have treatment guidelines.
• Our own treatment guidelines, because they're not used as flexible tools to guide treatment and get people
• Medical treatment guidelines are the...
• I do not want to delay appropriate treatment.

Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.

Transcript Highlights:

• Consumer sales and service stations.
• Just as important is service and ...service and called the Fila.
• And then, similarly, enabling more service stations so that those cars can then be serviced in state
• Whereas if the service dealership service center were not located on tribal land, the tax would come
• to that service station.

Bills: SB22 , SB310

Committee: Senate Senate Conservation

Summary: The committee first heard Senate Bill 22, which would allow certain motor vehicle manufacturers, including electric vehicle companies, to be licensed as dealers in New Mexico and sell/service directly to consumers. Supporters, including the sponsor’s office, Taxation and Revenue, Rivian, and clean-energy advocates, argued the bill would expand consumer choice, lower prices, improve EV access and service in-state, and bring new investment and jobs without eliminating existing franchise dealers. Opponents, including auto dealer associations, chambers of commerce, and franchise owners, argued the measure would weaken the franchise system, harm local businesses and jobs, reduce community reinvestment, and could disadvantage rural and tribal communities. After questions about trade-ins, tribal land sales, tax effects, and economic impacts, the committee voted to table SB 22 by a vote of 7-2. The committee then took up Senate Bill 310, which appropriates $1.1 million to the New Mexico Environment Department for planning, design, and construction improvements to the Mora mutual domestic water system. Supporters described aging water and wastewater infrastructure, an AOC related to discharge into the Mora River, flood and fire impacts, and heavy-metal contamination concerns in private wells. They said the project is part of a larger effort to address inflow and infiltration, improve treatment capacity, and protect public health, with additional funding already sought through the Clean Water State Revolving Loan Fund and the Water Trust Board. Some senators questioned whether the request should instead go through existing water funding programs and raised concerns about piecemeal financing and the Environment Department’s role, but others supported the need for the project. The committee approved SB 310 on a 5-3 due-pass vote.

Transcript Highlights:

• </c> to those who actually receive services. to those who actually receive services.
• So they've they've Human Services.
• </c> programs, wavered services. So, Mr. programs, wavered services. So, Mr.
• of providing services.
• . services. services.

Transcript Highlights:

• I'm the executive medical director at the Department of Human Services, Direct Care and Treatment.
• Last year, we admitted 424, so it really shows the demand on the services for direct care and treatment
• "I'm Dan Starkamp, Director of Operations Services for Direct Care and Treatment. And, uh, Mr.
• For the record, I'm Dan Starkamp, Director of Operations Services for Direct Care and Treatment.
• </c><01:10:36.679><c> Services</c> intensive Residential Treatment Services intensive Residential Treatment

Committee: Senate Human Services

Transcript Highlights:

• Has been in treatment for 90 days or more in the last year.
• And perhaps, most importantly, they lose trust in the public services.
• Services, programs. Okay. So then that jeopardy... Services, programs. Okay.
• At this point when you're sending somebody in for treatment.
• So what is that treatment and how would that benefit, right, the community? What is that treatment?

Summary: The committee heard several public safety and privacy bills, with extensive testimony on each. AB 1872 by Assembly Member Ta would make repeat swatting a wobbler and require offenders to compensate victims for property damage. Supporters, including civil liberties, sheriff, and district attorney representatives, said swatting is a serious and growing threat to first responders, schools, and public officials. Opponents argued existing law already covers false emergency reports and warned the bill could worsen penalties for people with mental illness. The committee approved the bill on a do pass motion to Appropriations. AB 1727, also by Assembly Member Ta, would make it a misdemeanor to transfer or sell a person’s genetic data without consent. Supporters framed the bill as a needed privacy protection in light of advances in genetic technology and AI, citing examples such as HeLa cells and concerns about unauthorized DNA collection. Opponents, including ACLU Cal Action, said civil penalties already exist under current law and objected to creating a new carceral offense for nonviolent conduct. The committee accepted amendments and moved the bill forward as amended to the Privacy and Consumer Protection Committee. The committee then took up AB 1782 by Assembly Member DeMaio, which would lower the threshold for retaining certain offenders with mental health disorders in state hospital custody and broaden the conduct considered in dangerousness determinations. Supporters said the bill responds to a recent release case and would help prevent dangerous releases; opponents, including disability rights and public defender groups, said it would weaken due process and expand involuntary confinement. The chair recommended a no vote, and the bill remained on call after a split roll. AB 1632 by Assembly Member Johnson, which removes the notarization requirement for trespass authorization letters, passed as amended despite opposition from homelessness advocates and public defenders who said it could increase arrests of unhoused people; supporters said it would reduce bureaucracy and help property owners and police respond to trespassing. The committee also heard AB 1968 by Assembly Member Gallagher, which would add conspiracy to commit murder to the list of offenses eligible for heightened juvenile court handling; supporters cited a foiled school attack in Tehama County, while opponents warned of overbroad punishment and racial disparities. The bill was discussed but not yet voted on in the portion provided.

Transcript Highlights:

• Kelly to come up and present the Health and Human Services budget, and she is the Health and Human Services
• Services are available for children with complex medical needs who require continuous nursing services
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• nursing services.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• This is life-saving treatment.
• I am grateful for your service to this state.
• I received services from the waiver. To say that these services are critical is an understatement.
• And it is because of these services that I am able to live life to the These services have allowed me
• It actually offers some more services.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.