Transcript Highlights:

• And on Tab 5, we have Senate Bill 294 on collaborative pharmacy practice for chronic health conditions
• And this is Senate Bill 294, dealing with collaborative pharmacy practice.
• So we are excluding those from these conditions that can be used through a collaborative practice.
• I also happen to be a board-certified cardiologist, having practiced in my field for nearly 22 years
• The collaborative pharmacy practice agreement, also known as the CPPA, was passed into law in 2020.

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:

• Efforts to eliminate exams also silence the voices of practicing social workers.
• practice social work—but those levels of details, I apologize, I don't know.
• So thank you for your time and commitment to justice and education and practice.
• , who are practicing as therapists often.
• Solid supervisory plans sharpen ethical practice.

Keywords: 995, all

Summary: The Joint Committee on Higher Education heard testimony on a broad set of bills focused on making public higher education more affordable and accessible, protecting student information, and changing social work licensure rules. Chair Rogers and Senator Comerford opened by emphasizing the committee’s focus on financial aid, tuition and fee waivers, scholarships, admissions, and institutional changes, and they reminded witnesses about the three-minute testimony limit. No votes were taken during the hearing. A large portion of the hearing centered on the “Super Act” (H. 1423/S. 218), which would eliminate the master’s-level social work licensing exam and create grant support for social work internships. Supporters—including students, practitioners, educators, and advocates—argued that unpaid internships and the exam create financial barriers, worsen workforce shortages, and disproportionately affect Black, brown, older, ESL, and other marginalized candidates. Opponents from the Association of Social Work Boards argued the exam is a necessary public-protection standard, helps maintain uniform licensure, and is important to the social work licensure compact; they said workforce shortages should be addressed through pay, working conditions, and caseloads instead. Committee members asked detailed questions about compact participation, exam accommodations, and how other states such as Rhode Island and Connecticut have handled similar changes. The committee also heard extensive testimony in favor of debt-free public higher education bills (H. 1436/S. 929). Witnesses, including students, faculty, advocates, and Senator Eldridge, said Massachusetts should expand on free community college by covering tuition and mandatory fees at public colleges and universities, with additional aid for living costs for lower-income students. Supporters said student debt delays homeownership, family formation, and career entry, and that the state should use Fair Share revenue to invest in public higher education. Some committee members voiced support but also raised concerns about prioritizing K-12 funding and the cost of expanding free college further. Several witnesses also supported bills to extend tuition and fee waivers to young adults raised by grandparents or other kinship guardians outside the DCF system, arguing that these students face the same trauma and financial barriers as foster youth but do not receive the same benefits. Representative Donato, Joseph O’Leary, Shauna Manning, Sandra Vecchio, Karen Gardner, Judy Walter, Elaine Arsenault, and others described the financial strain on grandparents raising grandchildren and urged parity with DCF-related waivers. In addition, Senator Jake Oliveira testified for a bill to protect public higher education student directory information from data mining and unauthorized sharing, and Deirdre Cummings testified for an open educational resources bill to reduce textbook costs. The hearing concluded with continued testimony on kinship care and college access, with committee members thanking witnesses and indicating follow-up on some bill language issues.

Transcript Highlights:

• ULTIMATELY, THE GOAL IS TO PROVIDE CLEAR PRACTICAL GUIDANCE SO STATE AND DISTRICTS CAN INTEGRATE AI IN
• ITS APPROACH IS PRACTICAL, BALANCED AND CENTERED ON STUDENT AND EDUCATOR NEEDS.
• THE QUESTION IS HOW ARE ORGANIZATIONS SHORT DELAY SHARING BEST PRACTICES WITH AI ACROSS DISTRICTS OR
• IS IT NEWSLETTERS, COMMUNITIES OF PRACTICE, FORMAL TRAINING OR SOMETHING ELSE? WHAT IS MISSING SIR?
• THEY ARE SAYING WHAT ARE THE THREE BIGGEST IMPACTS ON TEACHER PRACTICE?

Transcript Highlights:

• In the past, insurers would sometimes send an email to a practice, and if you ever clicked on that email
• In the past, insurers would sometimes send an email to a practice, and if you ever clicked on that email
• As a small medical practice, these fees accumulate very quickly, creating significant and unnecessary
• I'm here with another practice administrator today, and she's, it's a neurology practice, and she's battling
• It makes it transactional, which means it's practical and useful for people.

Summary: The committee met to hear five banking and insurance-related bills. HB 1549, an Office of Financial Regulation agency bill to help more efficiently regulate financial institutions, was amended to match Senate companion language and then passed unanimously. HB 1231 would extend physician payment and prior-authorization protections similar to a prior dental law, including limits on virtual credit card payments as the sole payment method; physicians and medical groups supported it as a way to reduce fees and retroactive denials, while insurers were not heard in opposition, and the bill passed unanimously. The committee then heard HB 999, which would make gold and silver legal tender and allow transactions in bullion through electronic debit mechanisms. The sponsor and several proponents framed it as an inflation hedge and economic freedom measure, while questions focused on definitions, transaction costs, and vendor participation. The bill passed on a mostly party-line vote, with one member voting no. The committee also approved HM 4363, a memorial urging Congress to establish a sovereign wealth fund; the sponsor described it as a way to steward national wealth, and the memorial passed with one dissenting vote. Finally, the committee took up HB 1551, which would create a prevailing-party attorney fee framework in insurance contract disputes. The sponsor argued it would restore balance, deter meritless litigation, and help consumers with valid claims recover fees, while insurers, business groups, and defense attorneys warned it would revive one-way fee shifting, increase litigation, and raise premiums. Consumer advocates and some members supported it as necessary to give policyholders meaningful recourse. After debate, the bill passed favorably, with one member voting no.

Transcript Highlights:

• They implemented selective hearing practices, used their backup trial divisions to create supplemental
• The development of best practices...
• practices stay current with the research with regard to legislative oversight, Section 4.43.0.
• We are learning through best practices.
• Those weights are updated regularly to reflect changes in the law and in legal practice.

Keywords: 999, senate, all

Transcript Highlights:

• So, we're just clarifying what we have already been practicing.
• So, we're just clarifying what we have already been practicing.
• The other we've already been practicing.
• That's a it's a practicality of that.
• This is what we do about data practices.

Bills: HF3676, HF2959, HF3233

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Transcript Highlights:

• aspects but also the very practical aspects but also the very practical aspects<00:42:26.720>
• It's very specific for firefighters and we practice it.
• It's very specific for firefighters and we practice it.
• Very specific for firefighters, and we practice it.
• <01:25:36.119> uh there are uh data practice uh there are uh data practice uh considerations

Keywords: 1187, senate, all

Transcript Highlights:

• <00:09:20.320> nurses<00:09:20.720> or licensed practical nurses or licensed practical
• So, I don't think it's practical.
• and the Nurse Practice Act.
• and the Nurse Practice Act.
• Licensed practical nurses matter?

Keywords: 1187, senate, all

Transcript Highlights:

• And to have to all of a sudden build that relationship and trust with another physician and practice,
• That way, our nurses will be educated before they go actually out and practice.
• Under the current program, any area that is de-designated, the doctors currently practicing would lose
• The bill does not guarantee ACN health care providers get a certificate to practice, as the Board of
• It simply creates a pathway for the continuation of their practices to protect patients.

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• I recently retired after having practiced for 42 years in Jacksonville, Florida.
• What percentage of all licensed practicing veterinarians in Florida are members of your association?
• So 75% of the practicing veterinarians in this state are not a member of your association.
• So 75% of the practicing veterinarians in this state are not a member of your association.
• I owned a private practice. We used to have veterinary technicians come in.

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it considered SB 754 on heated tobacco products. The sponsor said the bill would define heated tobacco products and exempt them from the cigarette tax, arguing they are a less harmful alternative for nicotine users. Senators asked about youth access and regulation, and the sponsor said he would research those issues further. A representative of the Florida Retail Federation appeared in support, and the committee voted the bill favorably. The committee then heard SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role, allowing individuals with a master’s degree and national competency exam to perform certain delegated veterinary tasks under a licensed veterinarian’s responsible supervision. It also expanded the allowable period for telehealth prescriptions for flea and tick products and other medications. Supporters said the bill would expand access to care, reduce costs, and help address veterinary shortages, while opponents from the Florida Veterinary Medical Association argued the proposal was unnecessary, could create safety and federal-law concerns, and that existing veterinary technicians and other workforce measures were a better solution. After testimony and debate, the amendment was adopted and the bill was reported favorably. During final debate, several senators said the VPA proposal was more limited and better balanced than earlier versions, with the veterinarian retaining liability and control over delegated duties. The sponsor closed by emphasizing rising veterinary costs, shortages of care, and the need for more affordable access for pet owners. The committee then adjourned.

Transcript Highlights:

• AND ON TAB FIVE THERE IS SENATE BILL 294 ON COLLABORATIVE PHARMACY PRACTICE REQUIRING HEALTH CONDITIONS
• THANK YOU VERY MUCH AND THIS IS SENATE BILL 294 DEALING WITH ELABORATIVE PHARMACY PRACTICE AND I THINK
• PATIENT SO WE ARE EXCLUDING THOSE FROM THESE CONDITIONS THAT CAN BE USED THROUGH A COLLABORATIVE PRACTICE
• I ALSO HAPPEN TO BE A BOARD-CERTIFIED CARDIOLOGIST PRACTICING IN MY FIELD FOR NEARLY 22 YEARS AND PROUD
• THE COLLABORATIVE PHARMACY PRACTICE AGREEMENT ALSO KNOWN AS THE CP PPA WAS PASSED INTO LAW IN 2020.

Keywords: 999, senate, all

Transcript Highlights:

• federal law state law um best practices federal law state law um best practices policies<00:31:50.279
• They are best practices.
• and national practices.
• SES you know there's best practices SES you know there's best practices there's<00:37:11.960>
• National practices maybe those there's National practices maybe those work<00:37:14.079> in<00

Keywords: 1183, house

Summary: The committee met on February 11 and began with introductions from members and staff, who shared brief personal and district facts. Chair Jim Nash then outlined the committee’s goals for the session, emphasizing bipartisan cooperation, the need to address a looming structural deficit, and the committee’s role in moving legislation forward. The committee also reviewed its rules for the year. The main item was House File 3, authored by Chair Nash and referred to Ways and Means. The bill would require the Office of the Legislative Auditor to produce an annual report tracking whether agencies have implemented prior audit and evaluation recommendations, with the goal of improving internal controls, transparency, and accountability and helping legislators make funding decisions. Nash described the bill as a preventative measure to reduce waste, fraud, and abuse, and said it was modeled in part on practices used in Colorado. Legislative Auditor Judy Randall testified that the office already produces similar update reports but lacks resources to independently verify many agency responses; she said the bill would provide a framework for more regular reporting and discussion, not a “shame tool.” Ranna Lee of Americans for Prosperity testified in support, saying the bill would increase accountability and transparency for how public agencies manage taxpayer resources. A letter from the Minnesota Council on Nonprofits was also noted in support. Representative Clardy offered the A7 amendment to add an appropriation matching the fiscal note; Nash accepted it, saying savings could be found later in the process. The committee approved the A7 amendment by voice vote. During discussion, Representative Quam supported the bill’s focus on accountability, and Representative Freiberg questioned the Legislative Auditor about the office’s expertise on a specific ambulance-services recommendation in the report. Randall responded that the office’s staff are policy research generalists who use standards, best practices, interviews, surveys, and site visits to develop recommendations, and that the goal is to prompt further discussion rather than require blind acceptance. The transcript ends during that exchange, with no final committee vote on House File 3 shown.

Transcript Highlights:

• So sort of a best practice... Extended period of time serves no purpose.
• So sort of a best practice in terms of moving forward with the population we serve.
• It's the culture change and the practices.
• We're also training the board in best practices, right?
• That is not a fair practice to engage our community.

Keywords: 995, all

Summary: The Special Commission on Criminal Justice Reform 3.0 heard a presentation from the Massachusetts Parole Board focused on consolidation, cooperation, and evidence-based supervision across the correctional system. Parole Board Chair Angela Gomez-June described the board’s mission, its coordination with the Department of Correction, houses of correction, courts, probation, law enforcement, victim services, and UMass partners, and outlined 2024 activity including 2,810 institutional release hearings, 18,238 victim notifications, 53 pardon petitions, 70 commutation petitions, 41 early termination applications, and supervision of 2,993 parolees. She emphasized the board’s shift toward individualized, data-driven decision-making, including revised GPS use, graduated sanctions, and more service-oriented community supervision. Members and sheriffs pressed for clearer breakdowns of the board’s data, including the difference between releases, hearings, and active supervision; average length of supervision; the share of lifers in the caseload; and how many people are placed in housing, employment, and treatment. The board said its active supervised population fluctuates around 1,600 to 1,800, with more than 400 lifers, and that about 30 to 36 percent of its population is housed through programs such as MASH, community justice resource centers, and sheriff-run residential programs like Rocky Hill and HOPE. Members also discussed parole refusals, noting that some individuals decline parole to avoid supervision or to serve time inside instead, and asked for a more detailed breakdown of those cases. The board and commission also discussed collaboration with DOC and UMass on risk assessment, reentry planning, and community pathways, including a tablet video explaining the parole process and pharmacist support for medication-related drug test issues. The board reported that after the SJC’s Matus decision, 210 individuals were identified as affected, 144 were immediately eligible for hearings, 100 hearings had been completed, and 10 more were scheduled; it also said clemency and commutation work had been slowed by staffing and Matus-related demands. The meeting ended with a request for follow-up data on outcomes, supervision lengths, housing and employment placements, and other consolidated statistics, and the commission announced its next public hearing for March 9 at 10 a.m. before adjourning.

Transcript Highlights:

• Practice. Practice.
• This bill makes targeted practical updates to strengthen Minnesota's address confidentiality program,
• This bill makes targeted practical This bill makes targeted practical updates<00:34:56.640> to
• for remediation and the best practices for remediation and cleaning. cleaning. cleaning.
• It also updates language to reflect current practices and ensures that the BCA has the tools needed to

Keywords: 1187, senate, all

Transcript Highlights:

• Chair, so following some best practices... Yeah, Mr.
• Chair, so following some best practices and different procedures that we have put out, so our minimum
• So his legal interpretation is you have to follow best practices.
• we appropriate a certain amount of money to a program, you still got to follow best practices.
• Okay. based on, again, best practices, historical information, things like that. Okay. All right.

Keywords: 908, all

Summary: The Budget Section’s Commerce and Legal Services Division met to review the Department of Commerce base budget for the 2027-29 biennium and to receive an update on Commerce programs. Legislative Council staff first walked the committee through the “blue sheet” base budget summary, explaining the major line items, the large share of federal grant authority in Commerce’s budget, and the continuing appropriations that support several Commerce funds. Members asked how grant funding is coordinated across agencies, and staff said collaboration varies by program but is strong in areas like UAS and LIHEAP. Commerce Commissioner Chris Schilken then presented on current activities, focusing heavily on grant administration, transparency, and economic development programs. Members questioned how grant applicants are selected, whether Commerce tracks applications and return on investment, and how long grant awards take to reach recipients. The commissioner said Commerce uses scoring criteria, outside reviewers, a minimum 30-day application window, and typically completes awards within two to three months. A lengthy exchange followed over whether Commerce should open some grants only to intended recipients versus running competitive application processes; Commerce said it follows best-practice grantmaking and that its attorney in the Attorney General’s office approved that approach. Commerce also highlighted the North Dakota Development Fund, citing long-term investment and job creation results, examples such as Red Trail Energy, Packet Digital, Valiance, Corvent Medical, child care loans, and the Automate ND program. Members asked about acceptable failures, lessons learned, regional economic development coordination, and the expansion of the fund into non-primary sectors. Workforce Director Katie Ralston Howell then outlined a statewide workforce ecosystem review, a new governor’s workforce sub-cabinet, and three task forces focused on simplifying entry, warm handoffs, and data integration. She discussed the in-demand occupations list, Workforce Pell, apprenticeships, and efforts to better connect students with employers and higher education. Commerce also briefly reviewed housing programs and a new housing sub-cabinet. No votes were taken; the committee simply received testimony, asked questions, and adjourned after setting up the next meeting to hear the Attorney General budget in June.

Transcript Highlights:

• And then next we look at evaluation practices at the international level.
• And then next we look at evaluation practices at the international level.
• And then next we look at evaluation practices at the international level.
• And finally, we look at our own practices at the LBO.
• And finally we look at our own practices And finally we look at our own practices at<00:29:18.480

Keywords: 1183, house

Transcript Highlights:

• While this practice often results in TPR occurring swiftly,...
• I am a lawyer who has been practicing for 40 years in the state.
• And so what this bill does is state that that practice must stop.
• This practice has been going on really pretty much since COVID-19.
• I'm an attorney in Galveston, and I've been practicing for twenty years.

Bills: HCR10, HB1814, HB2160, HB2353, HB2643, HB2971, HB3282, HB3382, HB3996, HB4507, HB4509, HB4805, HB5551, HB1863, HCR10

Keywords: family abduction, child safety, custodial rights, parental kidnapping, awareness day, marriage license, informal marriage, family code, identity verification, child support, family law, child custody, court interview, parent-child relationship, child welfare, attorney ad litem, compensation, legal representation, government entity, HB 2643

Transcript Highlights:

• Uh, there's a lot of crazy practices like spread pricing and, you know, rebates and so forth.
• Uh, there's a lot of crazy practices like spread pricing and, you know, rebates and so forth.
• <00:18:52.640> like there's a lot of crazy practices like there's a lot of crazy practices
• parts that are moving and um practical parts that are moving um<00:21:39.760> it's<00:21:40.080
• in the provisions sustainable practices in the provisions of<00:30:28.640> health<00:30:28.960

Keywords: 910, house, all

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• Importantly, these approaches do not dictate clinical practice.
• Importantly, these approaches do not dictate clinical practice.
• <01:13:46.000> tool you about a very specific practical tool you about a very specific practical
• In her practice, she said she sees this every single week.
• In my practice, I see symptoms peak.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• We should not be okay with what we have in the current practice.
• Some With what we have in the current practice.
• This will codify this into law where screening becomes common practice.
• Tarr, scope of practice. Question comes on adoption of the amendment. Amendment number 71 by Mr.
• Tarr, scope of practice. Question comes on adoption of the amendment. All those in favor say aye.

Keywords: 995, all

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.