Transcript Highlights:

• ensure families receive essential care.
• Every collaboration reduces, early collaboration reduces duplicative interviews and helps minimize the
• This accreditation does ensure that we meet the highest standards of care and collaboration when it comes
• system of care.
• lead agencies that administer foster care services for children and out-of-home care.”

Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.

Transcript Highlights:

• sad that I couldn't waive in support today, but we are working with wonderful Senator Bradley, who cares
• SB 152, protection from surgical smoke, is requiring hospitals and ambulatory surgical care centers by
• for laboratories, for a large number of health care providers.
• And this is Senate Bill 294, dealing with collaborative pharmacy practice.
• for the exceptional delivery of quality care among all Floridians.

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• In the collaborative court context, yes. I do. I do believe collaborative courts work.
• So those that are currently in collaborative courts are there not...
• Currently in collaborative courts are there not because of Prop. 36.
• Just one more question of collaborative courts.
• Drug courts are part of the collaborative court system. Yes.

Summary: The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations. Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law. The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration. In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.

Transcript Highlights:

• I'm really happy to see the collaboration that's happening, and I'm proud of each of the collaborators
• We do work collaboratively with.
• Under the health care authority.
• They are also tasked with collaboration.
• Health councils are also deeply involved with aging and long-term care services, health care authority

Transcript Highlights:

• , and child care.
• the word collaborates there collaborate with ICE immigration status and then collaborate.
• The word collaborates there, collaborate with ICE on that.
• providers for reproductive justice health care or gender-affirming health care.
• I can’t take care of my families. I can’t take care of myself. I don’t understand the language.

Keywords: 995, all

Summary: The committee held an informational hearing on responding to federal immigration enforcement in Massachusetts, with opening remarks from Sen. Liz Miranda and Rep. Bud Williams emphasizing fear in immigrant communities, recent ICE operations, and the need to learn from advocates and affected residents rather than debate individual bills. The hearing was organized around three topics: detention, arrests, and surveillance, with members repeatedly asking what the legislature can do to improve transparency, legal access, and oversight. On detention, Leah Hastings of Prisoners’ Legal Services said most people end up in ICE custody through contact with the criminal legal system and argued that state carceral systems are deeply intertwined with immigration enforcement. She described conditions at Plymouth County House of Correction and Burlington ICE holding as concerning, citing limited medical care, disability accommodations, solitary confinement, retaliatory transfers, and poor attorney access. Hastings said Massachusetts should reduce funding for sheriffs and the Department of Corrections, ban intergovernmental service agreements and 287(g) agreements, and invest instead in housing, treatment, and other community supports. Members also discussed ICE reimbursement, the immigrant legal defense fund, and the need for more immigration attorneys. On arrests and enforcement tactics, David Albright of JALSA said federal immigration enforcement has been expanded by major new funding and incentives, including higher payments for 287(g) and bed contracts, and he noted that most ICE detainees nationally do not have criminal records. He said Massachusetts has one 287(g) agreement with the Department of Corrections and one IGSA with Plymouth County, and that ICE also uses Burlington, Hanscom, and informal local collaboration in places such as Milford and Auburn. Danny Tampona of Neighbor to Neighbor and the LUCE Rapid Response Network described more than 10,000 hotline calls from 46 cities and towns, with arrests often involving masked agents, surveillance of workers and families, traffic stops, broken windows, and arrests at check-ins or schools; he said the network is concentrated in places including Everett, Chelsea, Lynn, New Bedford, Milford, Marlboro, Framingham, and Springfield. He urged legislation requiring clear identification for law enforcement, limits on surveillance technologies, and stronger legal defense resources. On surveillance, Joshua Dancoff of Citizens for Juvenile Justice argued that current state policies allow broad sharing of fingerprints and surveillance data with ICE, including through BRIC, the Massachusetts Fusion Center, and municipal police policies. He cited cases in Chelsea and Everett where children were taken from police custody into ICE custody and said many departments automatically share arrest fingerprints and other information with federal authorities. He recommended limiting fingerprint sharing, restricting surveillance databases and task-force participation, and curbing police and sheriff collaboration with ICE even where no formal 287(g) exists. Members and witnesses also discussed the need for more immigration lawyers, possible bar advocate-style funding for immigration defense, and legislative action to prevent further collaboration and deportation infrastructure.

Transcript Highlights:

• who are providing that care can take care of their families, have working conditions that allow them
• She was a PCA in long-term care.
• who are providing that care can take care of their families, have working conditions that allow them
• She was a PCA in long-term care.
• she was Aur nurse and long-term care she was Aur nurse and long-term care<00:46:27.599> and<00

Bills: HF500, HF718, HF1096, HF1246, HF1469

Keywords: nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, workforce development, job training, economic stability, low-income, career pathways, education funding, Summit Academy, employment, STEM programming, GED preparation, Neighborhood Development Center, NDC, small business, entrepreneurship, business training

Transcript Highlights:

• , child care, and employment opportunities.
• We have to be careful about that these days.
• CHA has the pulse on this through our patients' care and community collaboration.
• Invest in collaboration, invest in communities.
• Invest in collaboration, invest in communities.

Keywords: 995, all

Summary: The Joint Committee on Community Development and Small Business held its final hearing of the session on H. 5187 and S. 3022, the Enough Act, with Chair Andy Vargas and Senator Adam Gomez opening by thanking committee members and stakeholders for their work during the session. The bills were described as a grant-based, place-based anti-poverty initiative intended to support cradle-to-career services by funding local nonprofits, schools, community organizations, and backbone entities that can coordinate housing, education, health, workforce, and family supports in high-poverty neighborhoods. Testimony was overwhelmingly in support of the bills. Speakers including Strategies for Children, Chelsea Public Schools, Bunker Hill Community College, Senator Sal DiDomenico, Rep. Kate Lipper-Garabedian, Rep. Antonio Cabral, the Harlem Children’s Zone’s Kwame Owusu Kesse and Jeffrey Canada, former Education Secretary Paul Reville, AFT Massachusetts, United Way, the Boston Foundation, Give Black Alliance, Eastern Bank Foundation, and others argued that poverty is a systems issue that schools alone cannot solve. They emphasized the need for local control, community voice, coordinated services, and long-term public-private investment, often citing examples from Chelsea, New Bedford, Springfield, Lowell, Boston, and other communities, as well as the Harlem Children’s Zone and Maryland’s similar model. Committee members asked several questions about how the bill would function in practice, including what organizations would do on day one, how it would interact with existing efforts like community schools, McKinney-Vento, and the Student Opportunity Act, and how it would be sustained over time. Witnesses said the act would help create or strengthen backbone organizations, reduce duplication, align existing resources, and leverage philanthropy and future revenue sources for long-term sustainability. No vote was taken during the hearing, but multiple speakers urged the committee to report the bill favorably and quickly.

Transcript Highlights:

• In the collaborative court context, yes, I do believe collaborative courts work.
• Our collaborative courts are typically post-plea.
• In collaborative court system? It is a different population.
• Just one more question of collaborative courts.
• As far as the foster care system, we do represent is our impacting children in foster care, parents who

Keywords: 988, house, all

Transcript Highlights:

• used to deliver care.
• Cole will take care of testimony. Yep. Cole will take care of it.
• versus um having to have a care versus um having to have a collaborative<00:38:29.359> practice
• ,<00:39:44.560> two<00:39:44.800> in care pharmacists in primary care, two in care
• care services are not only just collaborating with physicians and other providers, as Moren stated,

Keywords: 1191, senate, all

Transcript Highlights:

• It is food costs that we spend taking care of forensics.
• It is food costs that we spend taking care of forensics.
• care support, helping Florida's families care for their loved ones at home for as long as possible.
• that some of the managed care patients had.
• Madam Secretary, we've dealt with the Kids Care program.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• This accreditation does ensure that we meet the highest standards of care and collaboration when it comes
• , trauma-informed system of care.
• , trauma-informed system of care.
• collaboration from day one.
• lead agencies that administer foster care services for children and out-of-home care.

Summary: The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination. Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers. CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.

Transcript Highlights:

• , to a population of individuals in our care that require hospital-level care.
• So moving into the health care...
• care, substance use treatment.
• I mean, we're a health care provider, right? That's bottom line. We're a health care provider.
• That’s—no, no, that would be under the health care. So this is distinct from the health care.

Keywords: 995, all

Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.

Transcript Highlights:

• Now, what is a collaborative hygienist?
• Dentist perimeters around collaborative practice are very restrictive and do not promote access to care
• A barrier for collaborative hygienists right now is the fact that they are not viewed as primary care
• Into the foster care system.
• And that is the Companion Animal Rescue Effort, CARE. Services. CARE is unique.

Transcript Highlights:

• of Care, The Continuum of Care acts as its own little fiefdom.
• Right Care is the original Texas MDRT model. Care in Dallas.
• really need that care.
• However, additional funding would enable even deeper collaboration between the Continuum of Care (CoC
• care, outpatient care, and even supportive housing.

Keywords: 1184, house, all

Transcript Highlights:

• So I want to just speak briefly about the New Jersey Maternal Care Quality Collaborative.
• So I want to just speak briefly about the New Jersey Maternal Care Quality Collaborative.
• About the New Jersey Maternal Care Quality Collaborative.
• And, per legislation, the New Jersey Maternal Care Quality Collaborative—there are a lot of names, and
• plans to provide care.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• And beyond direct services, we collaborate across agencies to strengthen systems of care, such as our
• And with the Department of Early Education and Care, we provide clinical consultation for child care
• Currently, MCB is also collaborating with New England Homes, Currently, MCB is also collaborating with
• We want to take care of those right away.
• other congregate care setting.

Keywords: 995, all

Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.

Transcript Highlights:

• The health care providers subcommittee is focused on identifying strategies for health care providers
• The second success is the growth of our interstate collaboration.
• Educating health care providers and increasing awareness of rare diseases.
• There is collaboration.
• There is collaboration.

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• care system.
• They need care as well.
• We take turns as institutions to provide care, and part of that is through our charity care.
• It's going to hurt health care.
• Where we're helping primary care physicians in rural communities care for cancer survivors.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.

Transcript Highlights:

• We are grateful for the collaborative approach.
• Healing is possible, and there is a pathway to care.
• Healing is possible, and there is a pathway to care.
• Healing is possible, and there is a pathway to care.
• Healing is possible, and there is a pathway to care. Thank you.

Bills: HF3727, HF3684, HF3467

Keywords: veterans property tax, homestead exclusion, disabled veteran, totally and permanently disabled, service-connected disability, property tax relief, market value exclusion, surviving spouse, family caregiver, county veterans service officer, Minnesota property tax, assessment year 2027, homestead tax benefit, veterans tax exemption, DD214, VA disability rating, veterans, veterans affairs, Department of Veterans Affairs, grant standards

Transcript Highlights:

• care system has less capacity.
• of a healthy child care sector.
• Child care and our child care program, in general, has been celebrated by other states.
• Care, free care.
• In other care facilities?