Transcript Highlights:

• So why remove lawful performance and just leave it with performance?
• It just matters that they were in uniform performing a duty, right?
• Are we seeing indicators of drug usage and the vehicle we called?
• We cut everything down to destructions phase and a performance phase.
• We make sure they absorb the instructions and then we go on to the performance.

Keywords: 999, senate, all

Transcript Highlights:

• However, I want to at least give you an indication of what the new projects in the bill look like.
• But those performance objectives, you know, we're all used to grants and the timeline, the performance
• And unfortunately, a lot of times they don't live up to what they indicated they could spend.
• The fourth of the five topics here is low expenditure performance.
• And really, when I think about it, this is a... ...expenditure performance.

Summary: The committee met for an informational hearing focused largely on the state capital outlay process and House Bill 2. Roger Husser and Matt Baker of the Division of Administration/Facility Planning and Control described how the office prepares and administers the capital outlay bill, said the bill has grown substantially over five years, and argued that recent changes in culture, staffing, project management, cash-flow analysis, and use of third-party support have more than doubled project expenditures and improved delivery. Members asked about the use and cost of third-party project managers, delegation of smaller projects to agencies, hiring difficulties, and whether the changes represented better interpretation of existing law versus statutory changes. Husser said some statutes were amended, some internal customs were removed, and the office would provide a list of those changes. He also explained that the office is trying to move away from overly rigid practices and toward faster project completion while still following public-bid and oversight rules. A major portion of the discussion centered on the size and structure of the capital outlay bill, especially the gap between Priority 1 cash capacity and the much larger Priority 5 backlog. Husser said the current annual Priority 1 limit is tied to construction inflation and is about $574 million, with additional surplus funds also available, but that the bill contains far more Priority 5 funding than can realistically move in a five-year plan. He and members discussed dormant projects, scope creep, legacy projects that have sat in the bill for years, and the problem of false expectations for non-state entities. Proposed solutions included limiting Priority 5 to five times Priority 1, requiring annual re-endorsement by members, setting district or project caps for non-state projects, requiring time limits and reporting for grant-like non-state projects, placing matches in escrow, requiring design readiness before submission, and consolidating the many existing reporting requirements into one clearer report. Members also discussed bundling multiple projects under one agency project, which the House had begun piloting for LSU, UL Lafayette, Southern, and DOTD, and which Husser said could improve flexibility, reduce overappropriation, and better reflect actual spending. Baker then explained cash-flow management and the commitment process, saying FPC now analyzes projects annually to estimate what can actually be spent in the next fiscal year and uses commitments to allow projects to proceed when future-year funding is expected. He said overappropriations can result from poor cash-flow estimates, delays, dormant projects, or projects coming in under budget, and that the office is already reworking cash-flow assumptions and reappropriating savings where possible. Members also raised concerns about change orders and low bids; staff said project managers review change orders closely, require concurrence on non-state projects, and sometimes reduce scope to keep projects within budget. After FPC’s presentation, the committee heard the beginning of Louisiana Economic Development’s capital outlay discussion, where LED explained that its projects generally fall into three categories, including the Economic Development Awards Program and Site Readiness Program, both used to support targeted economic development and job creation.

Transcript Highlights:

• My comment is that, of course, I'm for this, and I indicated that in my statement earlier.
• That's not just a health care win, that's an academic win, that's a school performance win. Again.
• That's not just a health care win, that's an academic win, that's a school performance win.
• That's not just a health care win, that's an academic win, that's a school performance win.
• So there's no correlation to going to a four-day in students increasing in performance.

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.

Transcript Highlights:

• With current estimates, Use rates have risen in the past 10 years, with current estimates indicating
• In fact, all data would indicate it would save us societal costs greatly.
• What metrics do you guys use to track performance?
• Nothing wrong with the capitated model, but be sensitive to performance.
• Nothing wrong with the capitated model, but be sensitive to performance.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• All the workers performing work on an apprenticeable occupation in building and construction trades for
• average to performing better than average.
• And so let me start with the support witness, if that's all right, Madam Chair, because you indicated
• A student has indicated suicidal intent or when a student has been involved in an incident of bullying
• And as you indicate, there are counties where every single district is basic aid because of the sheer

Keywords: 987, senate, all

Summary: The committee first heard AB 402, which would increase Cal Grant award amounts for students attending private nonprofit colleges and allow community college transfer entitlement awards to be used at those institutions. The author and supporters said the bill would restore award levels to their 2001 value and improve access for low- and middle-income, working, military, and transfer students. Several witnesses from private nonprofit universities, community college districts, and advocacy groups supported the measure. Senators raised concerns about the prior Cal Grant agreement tied to Associate Degree for Transfer participation and about the need to fund broader Cal Grant reforms, but the bill advanced on a unanimous due-pass vote to Senate Appropriations and was placed on call. The committee then took up AB 2067, a sunset extension for lease-lease-back authority for TK-12 school construction through July 1, 2032. The author and supporters from school housing and contractor groups said the method provides flexibility, early collaboration, cost control, and legal certainty for school construction projects. Senators asked how often lease-lease-back and other alternative delivery methods are used, and whether the skilled-and-trained workforce provisions limit competition. Some members objected to the skilled-and-trained requirement, while others said the bill simply preserves an existing tool without changing labor rules. The bill passed on a 6-1 vote, with Senator Ochoa Bogh voting no, and was placed on call. AB 1204, which would revise the Local Control Funding Formula by increasing supplemental and concentration grants, lowering the concentration threshold, adding regional cost adjustments, and setting a minimum annual COLA floor, drew extensive testimony on both sides. Supporters said the bill better reflects regional costs, inflation, and student need, especially for low-income, multilingual, and unhoused students. Opponents, including several school district leaders, argued it would widen funding disparities and divert money from the LCFF base grant, which they said should be the priority. Committee members also questioned the fiscal impact, the proposed 4% COLA floor, and whether the bill had enough research and stakeholder consensus. Despite those concerns, the bill was advanced to Appropriations on a due-pass vote and placed on call. Finally, the committee heard AB 1235, which would require a skilled-and-trained workforce process for CSU design-build projects to align CSU with UC and community college construction rules. Supporters said it would improve training and project quality, while opponents from contractor groups argued it would reduce competition, increase costs, and impose mandates without evidence of better outcomes. Several senators objected to the skilled-and-trained requirement as limiting opportunities for contractors who comply with state law, while others noted the issue was already common in higher education construction. The discussion was still underway when the transcript ended, and no final vote on AB 1235 was captured.

Transcript Highlights:

• whether it's the representative that brought the bill to us in the first place or any one of us, to indicate
• the first place or any one of us<00:14:38.560> um<00:14:38.720> to<00:14:39.639> indicate
• > to<00:14:40.399> the<00:14:40.600> governor<00:14:41.480> um us um to indicate
• to the governor um us um to indicate to the governor um what<00:14:42.720> what<00:14:43.199>
• dues to perform the functions that<00:57:35.240> they<00:57:35.480> have<00:57:36.240>

Keywords: 928, house, all

Summary: The committee first took up House Bill 118 in executive session and adopted Amendment 0882H, which would remove the House and Senate members from the Child Care Commission while leaving the commission in place. Members said the amendment was a continuation of earlier committee discussion and supported it as a needed change. The committee then voted 12-0 to recommend ought to pass as amended, and HB 118 was placed on consent. The committee next considered House Bill 142, dealing with Gold Star Mother’s Day. The sponsor explained that the bill was unnecessary because existing statute already directs the governor to issue a proclamation for Gold Star Mother’s Day and to urge appropriate observance, including flag-related ceremonies. Several members discussed how to ensure the proclamation and flag observance would happen and whether the committee report should note the existing statute. Other members said they would oppose killing the bill because the recognition was important. The committee voted 9-3 to table/ITL the bill, and HB 142 was declared inexpedient to legislate. The final major item was a public hearing on a non-germane amendment to House Bill 456, with a related draft amendment also discussed. The sponsor said the amendment would raise the annual membership allowance from $20 to $75, rename fees as dues, prohibit dues from being used to pay lobbyists, require NHMA dues to be brought before voters as a separate warrant article for transparency, and require separate accounting so lobbying funds are not co-mingled with other funds. Supporters said the goal was to keep taxpayer-derived money from funding lobbying while preserving non-lobbying services such as legal advice and training. Opponents argued the proposal was an overreach and would micromanage local towns. No vote was taken in the portion provided.

Transcript Highlights:

• I'm just trying to flesh being performed I'm just trying to flesh out<00:17:29.200> the<00:17
• Now, under the Minnesota standard as established by the court, and as previous testimony indicated, this
• Now, under the Minnesota standard as established by the court, and as previous testimony indicated, this
• Now, under the Minnesota standard as established by the court, and as previous testimony indicated, this
• performing official duties would<01:41:14.000> be<01:41:14.159> able<01:41:14.360>

Keywords: 1183, house

Transcript Highlights:

• With that comes both the celebration of New Hampshire Day and managing 20-plus vendors, performers, events
• And as I as I indicated<03:13:52.479> in<03:13:52.640> my<03:13:52.800> testimony,
• , one of the indicated in my testimony, one of the things<03:13:54.319> that<03:13:55.279>
• for performance for performance and<04:14:23.680> so<04:14:23.920> there's<04:14:24.239
• > on<04:31:40.080> average Other estimates indicate that on average Other estimates indicate

Keywords: 1189, house, all

Transcript Highlights:

• . perform a required across the board. perform a required analysis<00:37:02.079> to<00:37:02.320
• Uh, several indicated that they last remembered a training in 2018 or 2019.
• > they<01:15:06.719> last Uh several indicated that they last Uh several indicated that
• Uh leadership indicated to us difficult.
• Then the Governor indicated there was a pot of money that was available and could go to that.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• It helps employees to be more productive and perform at higher levels.
• It helps employees to be more productive and perform at higher levels, fosters better communication between
• of imposing increasingly severe disciplinary action on an employee for continued failure to meet performance
• The definition is not clear as to what it means to correct future work performance and what is included
• increasingly severe disciplinary action on an employee and on employees continued failure to meet performance

Summary: The committee heard several labor and employment measures. AB 465 would require local public employers, at a union’s request, to negotiate minimum disciplinary and grievance procedures in MOUs, including progressive discipline, just-cause protections, grievance appeal rights, and paid release time for representatives. Supporters, including AFSCME and SEIU, said it would create fairer and more consistent due process protections for local government workers; opponents from county and city groups argued it would impose binding arbitration and rigid discipline rules that could undermine local flexibility and accountability. The bill passed on a 5-0 vote and was re-referred to Appropriations. AB 792 would allow court interpreter bargaining to be consolidated when multiple regions are negotiating at the same time. The author and the California Federation of Interpreters said the change would reduce repeated bargaining, improve efficiency, and help address interpreter recruitment and retention. There was no opposition, but some members questioned whether the proposal would really solve wage and staffing problems; the bill passed 5-0 and was placed on hold. AB 1309, which would improve Cal Fire firefighter compensation by tying salaries more closely to comparable local fire departments, drew strong support from firefighters and no opposition. Members praised Cal Fire’s work and the bill passed 7-0 and was held for add-ons. The committee also approved AJR 8, a resolution urging protection of Social Security and opposing federal cuts or office closures. Supporters said Social Security is essential to seniors, veterans, people with disabilities, and children, and warned that reductions would increase poverty and homelessness. One member objected to naming political figures in the resolution, but the measure still passed 7-0 and was held. AB 1247, which would require contracted-out school classified workers to meet the same training and qualification standards as direct hires and address related retirement contributions, passed 5-2 despite opposition from county superintendents and school administrators who said it would add costs and limit contracting flexibility. Finally, AB 288, which would authorize PERB to act when the NLRB fails to remedy labor claims by a deadline, passed 6-0 with strong union support and no opposition.

Transcript Highlights:

• whereas through exceptional marksmanship, discipline, and teamwork, the team delivered a dominant performance
• If you favor the motion, indicate by saying 'aye'. 'pose', 'nay'. Guys, have it.
• Those in favor of the motion to Indicate by saying 'I pose nay' if the motion carries.

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647, HB3986, HB3548, HB3661, HB4346, HB3075, HB4273, HB3391, HB4128, HB3557, HB3239, HB3982, HB2123, HB2979, HB2997, HB3148, HB4108, HB4143, HB4266, HB2053, HB4058, SR30

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation

Transcript Highlights:

• KEY PERFORMANCE INDICATOR. JUST MAKE SURE THE COMMITTEE KNOWS WHAT YOU'RE TALKING ABOUT.
• CHAIRMAN AN INDIVIDUAL WOULD RECEIVE A LICENSE THAT WOULD BE STAMPED CLEARLY INDICATING THE FIRST STATUS

Keywords: 999, senate, all

Transcript Highlights:

• As you indicated, we are working through some amendments.
• There are four indicators evaluated across each state that determine how a state is doing in each of
• Kelly indicated—if you look at the satellite level, the EVIT CTE, and...
• Given the fact that the bill sponsor has indicated that she has a desire to work with the committee to
• If my child has a dance performance, I can choose to use my PTO.

Keywords: 1182, all

Summary: The committee first heard House Bill 4043, which would require each school district and charter school to ensure that at least one employee at each school is trained in CPR, first aid, and AED use by August 1, 2027. The sponsor said he would consider floor amendments to clarify that a trained person should be available at all times and to tie the requirement to schools that actually have AEDs. Supporters, including a constituent who lost a child, said the bill could help save lives; opponents and some members raised concerns about cost, staffing, and whether one trained employee is enough. The bill received a due pass recommendation on a 7-1 vote with several members voting present. The committee then took up House Concurrent Resolution 2015, as amended by a strike-everything amendment supporting at least 60 minutes of daily physical activity for students and prominent display of the federal Dietary Guidelines for Americans. A public health advocate testified in favor, emphasizing chronic disease prevention in children. The committee adopted the strike-everything amendment and then gave the resolution a due pass recommendation on a 12-0 vote. House Bill 2621, as amended, addressed enrollment and special education access for pupils in unorganized territory, tribal land, and certain military-connected students, including changes to certificates of educational convenience and timelines for district and county action. The sponsor and stakeholders described it as a technical fix to reduce enrollment delays and improve access to services. After adopting both the strike-everything amendment and a Garcia amendment, the committee passed the bill 11-0. The committee also advanced House Bill 2385, which limits superintendent contracts to one-year terms during the first three years of employment and allows longer terms only after three consecutive years. The sponsor framed it as a way to reduce costly buyouts and give school boards more flexibility; there was no public testimony, and the bill passed 7-4. House Bill 4106, creating the One Arizona Service Fellowship Program, also passed after amendment. Supporters said it would build service opportunities and workforce experience, while some members objected to creating and funding a new state program; it passed 8-2 with one present. Later, House Bill 2992, as amended, established a pilot program in schools for child sexual abuse and assault awareness and prevention, expanded to K-12 in the amendment and funded from the Victim Compensation and Assistance Fund. A survivor and anti-trafficking advocate strongly supported teaching children and training staff, while some members objected to the funding source and possible unintended consequences. The bill passed 6-5 with one present. House Bill 2370, concerning who may modify weapons detection systems and requiring superintendent notification to governing boards within 24 hours, passed 8-3 after a debate over school safety, accountability, and whether the bill was too vague or too narrow. House Bill 4056, as amended, would bar fees for legislators making public records requests in their official capacity and require electronic delivery; the sponsor cited large fees charged by school districts, while opponents warned against broad fee exemptions. It passed 8-3. Finally, the committee began House Bill 2478, which would create the Arizona Commission on Student Outcomes to study K-12 performance, accountability, graduation requirements, finance, and related issues, with a proposed amendment to add early childhood analysis. The sponsor said the commission would help drive a statewide conversation and that the Classroom Site Fund had sufficient unused balances to support it. Testimony from early learning and advocacy groups was generally neutral but supportive of including early childhood in the study, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• But all of them, but one, indicated that there was no direct control or access to the power grid, which
• But again, all of the entities that submitted that they had grid equipment indicated that, even though
• And then, as I indicated, there are third-party solutions out there that can help us from a supply chain
• As I indicated on one of the other slides, we're also, as technology continues to improve, looking at
• As the Attorney General's office indicated, we are resource constrained.

Keywords: 1185, senate, all

Transcript Highlights:

• Your job, as you rightly defined it, is to make sure that the commission is performing its duties.
• I will say that we have seen some indication.
• I think when it comes to her performance or any of the staff's performance, I actually think it's the
• You know, you mentioned the derecho, the performance. of CenterPoint during the derecho was lauded for
• This creates competing interests since there's always some work for them to perform.

Keywords: 1185, senate, all

Transcript Highlights:

• It's to provide the standard. performance measures in the new bill pattern for that new campus.
• Item number two is was adopted was to correct a performance measure at the University of Texas at El
• Item number six is the performance-based research operations mission-specific formulas.
• Item number two is for the performance tier. formula, and that was adopted, and that was $2.3 billion
• Across multiple strategies as indicated here in Roman numerals 1, 2, 3.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Evidence shows that surgical intervention performed within the first 30 to 45 days of life offers the
• Evidence shows that surgical intervention performed within the first 30 to 45 days of life offers the
• It tightens the state's oversight in nursing education programs so that poor-performing programs are
• All programs, not just the low performers, are encouraged to offer preceptorships, which include job
• Mortham, but we have a very complicated bill in front of us, as the senators indicated.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• for the records, and they should be given to them in a reasonable amount of time so that they can perform
• We have a duty, and they’re not allowed to perform their duty.
• This bill also specifies performance evaluation criteria for certified school counselors, and the criteria
• is required to be based on Florida school counseling standards indicators as determined by the State
• The program authorizes school districts and charter schools to place current and retired high-performing

Summary: The Education Administration Subcommittee heard and advanced six bills. The first, PCS/HB 1073 by Rep. Koster, would give individual school board members timely, free access to district documents and budget information, require agendas and supporting materials to be kept as public records, and prohibit school districts from requiring or incentivizing nondisclosure agreements. Testimony from a Volusia County school board member and a former educator described difficulty obtaining records and concerns about NDAs; some members raised chain-of-command concerns, while others argued the bill was needed for transparency. The bill passed 15-3. The committee then approved HB 4049, a local bill for Jacksonville/Duval County that changes how the Duval County School Board’s attorney is selected, and OGSR/HB 7021, which extends and clarifies the public-records exemption for education examination and assessment instruments through 2031. HB 4049 passed 17-1 after debate over whether the board should use the city’s general counsel process; HB 7021 passed unanimously with no debate. Members also approved CS/HB 753 on school counselors, which removes certain certification barriers while keeping degree and counseling requirements in place and allows districts to choose whether to require the removed certificates. Supporters said the bill could help address counselor shortages and free counselors to focus on students; it passed 18-0. Finally, HB 157 created a School Teacher Training and Mentoring Program for D- and F-rated schools, using high-performing current or retired teachers as mentors with stipends funded from an existing allocation. Members discussed mentor limits, funding, and oversight, but the bill passed unanimously, 18-0. The meeting adjourned after committee members recognized visiting officials and students.

Transcript Highlights:

• supports secondary and post-secondary career and technical education programs, and $12.1 million in performance
• First, $100 million for the Pipeline Fund will continue to reward high-performing programs at our colleges
• First, $100 million for the Pipeline Fund will continue to reward high-performing programs at our colleges
• -2 programs, enabling students to continue their education, as well as $20 million in workforce performance
• His investments indicate his support for our earliest through adult learners, and we look forward to

Summary: The Appropriations Committee on Higher Education heard a presentation from the Governor’s Office on the proposed education budget, which totals $32.5 billion overall and includes no tuition or fee increases for Florida residents. Officials highlighted major funding for financial aid and scholarships, including Bright Futures, Benacquisto, veteran-related scholarships, EASE, Open Door, law enforcement/first responder programs, and workforce initiatives. They also emphasized increases for workforce education, Florida College System operations, nursing pipeline and line funds, and university operations, performance funding, and faculty recruitment and retention. Committee members asked questions about the Ocoee Scholarship, the proposed post-secondary Guardian program, and how university recruitment and retention funds would be used; officials said the Ocoee Scholarship remains funded at current levels, the Guardian program would offer flexible campus safety options, and the university funds would be distributed to institutions for faculty recruitment and retention without additional directives. The committee then heard from a series of appointees and reappointees to boards of trustees for state colleges and universities, who described their backgrounds and priorities. Testimony consistently focused on affordability, workforce alignment, nursing and allied health programs, dual enrollment, adult learners, and local economic needs. Several trustees highlighted strong nursing NCLEX pass rates, expansion of campuses or programs, and efforts to tailor education to regional workforce demands such as health care, construction, law enforcement, aviation, and hospitality. One appointee from Miami-Dade College emphasized helping adult students return and complete degrees by easing credit transfer and admissions barriers. After hearing from the appointees, the committee took up the full slate of confirmations as a block. A motion was made and the roll was called; the confirmations were approved favorably, with members voting yes and no opposition recorded. The committee then adjourned.

Transcript Highlights:

• But however you would like to perform that collaboration, I...
• We ask for and receive performance data.
• for primary care access key indicator for primary care access and<01:33:03.520> need.
• About 60%—excuse me—percent as indicated by less than 5 years of practice in New Hampshire.
• > suggest Um access indicators also suggest Um access indicators also suggest limited<01:39:06.560

Keywords: 928, house, all

Summary: The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state. The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training. Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.