Transcript Highlights:

• All of our systems the SRF programs.
• Uh in that basin we that program.
• My background is in water and wastewater treatment, as it involves both municipal treatment, what we
• My background is in water and wastewater treatment, as it involves both municipal treatment, what we
• My background is in water and wastewater treatment, as it involves both municipal treatment, what we

Keywords: 916, all

Transcript Highlights:

• There's been this focus on job training, drug court, inpatient drug treatment, outpatient drug treatment
• ,<00:03:54.720> outpatient uh inpatient drug treatment, outpatient uh inpatient drug treatment
• ,<00:16:49.839> parents, through those programs, parents, through those programs, parents,
• these programs.
• a long-term treatment center. a long-term treatment center.

Keywords: 958, all

Summary: The Senate Judiciary Committee heard Senate Bill 122, which would allow certain defendants who are caretakers of dependent children to ask a sentencing court to consider parenting classes and family counseling as part of an alternative sentence, alongside existing options like probation and treatment programs. Representative Nick Wilson, the House sponsor, said the bill was aimed at helping families affected by the opioid crisis, especially in Appalachia, and described it as a way to support parents who want to get clean and rebuild family stability. He emphasized that the bill would apply only on a defendant’s motion, would not be automatic, and would exclude violent offenders, domestic violence-related cases, child-victim cases, and cases where probation or similar relief is otherwise prohibited. Committee members raised concerns that the bill could create a two-tiered system of justice or add unnecessary procedure because judges already consider family circumstances through presentence investigations and sentencing discretion. One senator said he would support the bill but worried it privileged defendants with children over those without. Another member argued the bill was unnecessary because judges and prosecutors already have these options available and because it could add another hearing to an already overloaded court system. Supporters responded that the family unit should be given greater weight and that the bill would simply make that consideration more explicit. Judge Julie Ward, joined by Judge Jeremy Maddox, testified against the bill as written. She said judges already receive presentence reports, hear offender statements, and consider caregiving responsibilities, and that family court already addresses children’s needs when custody issues arise. Her main objections were that parenting services are not available in all communities, may cost money, and that the bill would require evidentiary hearings and potentially create equal protection problems by giving preferential treatment to caretakers. She urged the sponsors to work on revised language instead of passing the bill in its current form. Senator Wheeler said he would vote for the bill and noted that a floor amendment would be offered to address access to confidential juvenile “J cases” in presentence reports, since probation and parole do not have that access. He said the amendment was intended to make sure sentencing judges have the information they need. The discussion ended without a final committee vote in the transcript, but the bill remained under consideration with possible amendment and further revision.

Transcript Highlights:

• substance use disorder treatment.
• those efforts to expand the program.
• It appears to me that programs like that, programs like the state and federal requirements to consider
• Another is deferential treatment.
• Floyd became deceased. programs under the guise that these particular programs just drive. division within

Bills: SCR5, SCR13, SB3, SB6, SB10, SB12, SB13, SB15, SB17, SB18, SB19, SB24, SB35, SB57, SB65, SB112, SB284, SB290, SB388, SB400, SB402, SB412, SB495, SB499, SB502, SB509, SB621, SB706, SB740, SB815, SB842, SB854, SB875, SB893, SB917, SB974, SB1025, SB1061, SB1073, SB1106, SB1268, SB1281, SB1300, SB1362, SB1379, SB1447, SB1451, SB1555, SB1902, SJR36, SJR12, SCR13, SCR25, SCR5, SCR22, SCR12, SCR24, SB495, SB412, SB10, SB18, SB565, SB372, SB842, SB765, SB62, SB19, SB666, SB707, SB888, SB687, SB706, SB847, SB290, SB13, SB1248, SB740, SB14, SB1006, SB504, SB917, SB925, SB388, SB1902, SB1121, SB995, SB857, SB305, SB296, SB284, SB35, SB6, SB815, SB3, SB1281, SB1379, SB1300, SB1497, SB1499, SB1498, SB1451, SB1061, SB15, SB65, SB241, SB304, SB402, SB499, SB621, SB974, SB1023, SB1024, SB1025, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB17, SB1119, SB1505, SB12, SB24, SB57, SB1194, SB1253, SB1215, SB1532, SB1268, SB1302, SB856, SB650, SB583, SB673, SB840, SJR57, SCR8, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415

Keywords: SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming, education K-16, State Affairs, Texas Legislature, public school tribute, water rights

Transcript Highlights:

• They can't even go to programs.
• Instead of supporting communities through investing in schools, after-school programs, job programs,
• Communities through investing in schools, after-school programs, job programs, housing, and mental health
• The program, you know...
• The programming then, coming out and doing the additional programming out of the prison, we moved the

Keywords: 995, all

Summary: The committee on State Administration and Regulatory Oversight held a hybrid hearing covering public construction, business regulations, and honorary designations, with most of the discussion focused on two matters: a five-year moratorium on new jail and prison construction (S. 2114/H. 3422) and a bill designating June 7 as Tourette Syndrome Awareness Day (S. 2152/H. 3305). The chair emphasized that the hearing was public, testimony would be recorded, and speakers should generally keep remarks to three minutes. Senator Comerford introduced the prison moratorium bill, saying it would pause new construction while allowing renovations, and Senator Friedman introduced the Tourette awareness bill and a separate Tuskegee Airmen commemoration measure, asking for favorable action on both honorary designations. A large portion of the hearing featured remote testimony from incarcerated people at MCI Framingham and MCI Shirley in support of the prison moratorium. Witnesses repeatedly argued that Massachusetts does not need a new women’s prison, that the incarcerated population is declining, and that funds would be better spent on mental health care, addiction treatment, vocational training, pre-release programming, housing, and repairs to existing facilities. Several speakers described poor conditions, limited programming, and the need to address trauma, domestic violence, and substance use as root causes of incarceration. One committee member responded to testimony by noting that incarceration numbers are going down, that the state is working on housing and workforce opportunities for people returning home, and that the committee wants to expand pathways to employment and reentry. The Tourette Syndrome Awareness Day bill drew testimony from the bill’s young sponsor, Owen Rosenthal, his parents, medical professionals, and advocates. They described Tourette syndrome as a misunderstood neurodevelopmental condition, said awareness would reduce stigma and improve diagnosis and support, and cited the need for education in schools, workplaces, and the medical community. The Tourette Association of America supported the bill, noting underdiagnosis, co-occurring conditions, pain, and mental health risks associated with Tourette syndrome. Committee members praised the youth advocates and asked that written testimony be submitted electronically. The hearing ended without any recorded votes or final committee action in the transcript provided.

Transcript Highlights:

• However, it's been difficult to readily see the performance of the programs and the outcomes.
• We just heard in public testimony there's eight FDA-approved treatments.
• Many of those are gene therapies, and what's unique about gene therapies is, unlike other treatments,
• And sadly, many of these children will pass away before they receive any treatment at all.
• that have actionable treatments, and that list is growing every single day as research evolves.

Summary: The Health Care Budget Subcommittee met and took up four bills. First, CS/HB 633 by Rep. Koster on managing entity reporting and transparency for behavioral health services was amended to clarify reporting requirements and timing, and to address the bill’s fiscal implementation through conferencing. Members and one public speaker supported the measure, emphasizing accountability and better use of state funds. The bill was reported favorably. Next, CS/HB 531 by Rep. Hunschofsky on background screenings was amended with a strike-all that would require ACCA to create a public webpage with screening education, level-two screening standards, and a searchable catalog of positions requiring screening. Because the amendment changed the bill’s relating-to clause, the chair noted it would be temporarily postponed under House Rule 7.11D and returned to the committee later. The committee then heard HB 1089 by Rep. Booth, which adds Duchenne muscular dystrophy to the recommended newborn screening panel, subject to appropriation. A parent testified in strong support, describing the benefits of earlier diagnosis and treatment, and several members spoke in favor. The bill was reported favorably. Finally, CS/HB 907 by Rep. Anderson created the Sunshine Genetics Program, an opt-in newborn whole-genome sequencing program, and established the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics Consortium. An amendment made funding contingent on appropriations and added Nicholas Children’s Hospital and Florida International University to the consortium board. After supportive testimony and debate, the bill was also reported favorably. The meeting then adjourned.

Transcript Highlights:

• Make sure that they're interfacing with programs like street medicine or harm reduction programs that
• give them the bridge to treatment.
• Make sure that they're interfacing with programs like street medicine or harm reduction programs that
• like substance abuse treatment, GED, and college courses, victims awareness programming, anger management
• I help participate in the Christmas program. I help participate in the Christmas program.

Summary: The committee heard several public safety and criminal justice bills. AB 837 by Assemblymember Davies would add ketamine transportation to existing drug trafficking law; supporters, including district attorneys and peace officer groups, said it would address a growing and dangerous drug trend, while opponents argued increased penalties do not reduce drug supply and can worsen health harms. The bill was approved on a due-pass-as-amended vote and sent to Appropriations. AB 352 by Assemblymember Pacheco would make threats against judges and court commissioners an aggravating factor in sentencing; judicial and law enforcement groups supported it as a response to rising threats, while ACLU and criminal justice advocates said existing law already covers threats and the bill is unnecessary. It also passed to Appropriations. The committee then took up AB 938 by Assemblymember Bonta, which expands vacatur and affirmative-defense relief for survivors of human trafficking, intimate partner violence, and sexual violence, including for some violent offenses. Survivors and advocates testified that the bill would allow people coerced into crimes to tell their full stories and seek relief, while district attorneys and sheriffs warned it could sweep too broadly and affect public safety. The chair and several members strongly supported the measure, and it passed as amended to Appropriations. AB 475 by Assemblymember Wilson would make prison work assignments voluntary and is tied to a broader effort to remove involuntary servitude language from the state constitution; supporters framed it as a rehabilitation and dignity issue, while one member objected to the premise and cited the defeat of a related ballot measure. The bill was voted out to Appropriations but left on call pending additional votes. Assemblymember Lowenthal presented AB 704, which would allow people convicted of low-level offenses before age 26 to petition to seal and destroy records after a waiting period. Supporters said the bill addresses the limits of expungement in the digital age and recognizes young adult brain development; prosecutors and police groups raised Brady/disclosure concerns and objected to treating 18- to 25-year-olds like children. The committee debated those issues at length before sending the bill to Appropriations. Lowenthal also presented AB 812, which would expand resentencing opportunities for incarcerated firefighters who serve on conservation fire crews; supporters emphasized rehabilitation, wildfire response, and reduced recidivism, and the hearing continued with support testimony and the start of opposition testimony as the transcript ended.

Transcript Highlights:

• Ben Johnson Deputy Commissioner programs Ben Johnson Deputy Commissioner programs and<00:17:10.520
• Officer from Direct Care and treatment Officer from Direct Care and treatment with<00:21:45.720>
• facilities for direct care and treatment facilities for direct care and treatment we<00:21:53.320
• <00:30:14.840> uh list at Direct Care and treatment uh list at Direct Care and treatment uh
• <00:30:35.080> and Wards of direct care and treatment and Wards of direct care and treatment

Keywords: 1187, senate, all

Transcript Highlights:

• Amber and Marcus Capone of the Vets Organization, an acronym for Veterans Exploring Treatment Solutions
• Co-founder and chairman of Veterans Exploring Treatment Solutions or VETs, and a fellow Texan for at
• Affordable access to effective treatments for the invisible wounds of war.
• The therapeutic efficacy of these treatments when administered in appropriate clinical settings under
• We simply cannot meet the unrelenting demand for access to our programs.

Transcript Highlights:

• Today, those programs are flourishing.
• <00:17:48.080> are women's court today those programs are women's court today those programs
• <00:19:20.440> for implemented a pilot program for implemented a pilot program for mediating
• they need we launched a pro bono program they need we launched a pro bono program for<00:23:31.960
• environmental Court veterans treatment environmental Court veterans treatment Court<00:48:00.960

Keywords: House Agenda:, 910, house, all

Transcript Highlights:

• National programs nationally.
• This program is a new program that aims to provide an This program is a new program that aims to provide
• The maternity health care program.
• Another component of House Bill 7885 is the sickle cell disease research and treatment grant program.
• This program awards grants to community-based treatment, medical, and research centers.

Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.

Transcript Highlights:

• And New Mexico is now working with the Casey Family Program.
• They're pre-K programs. Program requires a home visit. They all have multiple screenings.
• , and deal with the family infant-toddler program.
• Some of the programs are able to fund...
• For instance, my organization has a total of four programs.

Transcript Highlights:

• <00:36:16.400> Elliot Treatment Center in support. Elliot Treatment Center in support.
• Addiction Treatment Center in support. Addiction Treatment Center in support.
• Um but as the bill is treatment.
• Um, the university has a program.
• Um, the university has a program.

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related measures, with most of the discussion focused on bills addressing tobacco/vape enforcement, psychology licensure, hospital price transparency, prior authorization, and medical cannabis. The chair opened by explaining the one-minute testimony limit and that written testimony had been reviewed. For SB 2175 on disposable electronic smoking devices, the Department of Health said the bill’s placement in litter-control law was not a good fit because disposable e-cigarettes contain hazardous materials like lithium and nicotine, but it supported the intent and pointed to a related measure. Public health and tobacco-control advocates strongly supported the bill, citing youth use, toxic waste, battery fires, and the need to tighten definitions and remove exemptions; a long list of organizations and individuals were noted in support, with no opposition mentioned. For SB 2410, which would create a state directory and enforcement tools for authorized e-cigarette products, the Attorney General’s office strongly supported the measure and said it would help enforce the FDA-authorized list of products through certification, inspections, and civil penalties. The Department of Health said thousands of illegal products remain on the market and cited youth usage rates, while public health groups also supported the bill. One tobacco industry-related witness was noted in opposition. SB 2080, the psychology interjurisdictional compact, drew support from the Department of Corrections, which said it had severe staffing shortages and that the compact would help fill gaps, especially for forensic psychology and neighbor island facilities. Some committee members raised concerns about whether the compact would loosen licensure standards and reduce licensing revenue, and the Board of Psychology was said to be meeting and had not taken a formal position; testimony also noted the need for resources if the compact were adopted. The committee also heard SB 2276 on surgical assistance, with DCCA in opposition and a supporter from the field, but little discussion followed. SB 2277 on hospital price transparency drew support from consumer and patient advocates, who argued that clearer pricing would reduce medical debt and help patients shop for care; DCCA and the Department of Health offered comments, with the department suggesting an alternative enforcement model using outside review entities and noting that implementation would require significant staffing and funding. The Healthcare Association of Hawaii opposed the bill, saying federal transparency rules already cover the issue and state law could create duplication. SB 2282 on prior authorization received comments from insurers and providers; HMSA asked that the bill be set aside pending the report of the prior authorization working group created by Act 151, while the Hawaii Medical Association said prior authorization is a major burden but deferred to regulators on resources. Finally, SB 2413 on medical cannabis was supported by the Office of Medical Cannabis and others, who said the bill would close a patient-access gap by allowing viable seed sales; one witness suggested clarifying jurisdictional language and allowing dispensaries to sell seeds to each other. The committee then began SB 2425 on health insurance, where an addiction treatment provider testified that insurers’ refusal to honor assignment-of-benefits payments can delay reimbursement and create relapse risk for patients, but the transcript cuts off before further action on that bill.

Transcript Highlights:

• know that some programs are better than other programs according to the evidence.
• is an incredibly strong program is an incredibly strong evidence-based<00:31:05.159> program<
• what the cost is on these programs what the cost is on these programs we<00:37:58.359> know
• people try to uh unwind their program people try to uh unwind their program the<00:43:14.040>
• our home visiting programs.

Keywords: 928, house, all

Summary: House Finance Division III held an informational hearing with the Department of Health and Human Services focused on child and family services, children’s behavioral health, DCF, juvenile justice, and adult mental health. Before the presentation, members discussed scheduling a future site visit to Waypoint, including possible dates, mileage reimbursement logistics, and whether to reschedule the department’s developmental disabilities and healthy aging presentation because the associate commissioner was out sick. The department then outlined that it would concentrate on children’s behavioral health, DCF residential care and the Sununu Youth Services Center/YDC new build, and adult mental health, while noting the broader DHHS structure and the value of keeping related services under one leadership. The department emphasized an integrated “system of care” approach and said it was trying to shift resources toward earlier, lower-intensity interventions rather than relying mainly on high-cost residential and acute services. It cited youth risk data showing roughly four in ten New Hampshire high school students feeling sad or hopeless and about one in five considering suicide in the past year, and said these trends worsened during the pandemic, peaking in 2021 and easing somewhat by 2023. Members asked how New Hampshire compared with neighboring states and about pre-COVID trends; the department said it would follow up with more exact data. The presentation also described a long-term policy effort beginning with federal funding in 2012, the state’s 10-year mental health plan, and later legislation aimed at strengthening children’s behavioral health and transforming juvenile justice so that youth with behavioral health needs are not routed into punitive systems first. Members raised questions about out-of-state residential placement oversight and the statutory basis for inspections and follow-up. The department said the General Court had funded more “boots on the ground” oversight, in coordination with the Office of the Child Advocate, and agreed to provide a longer follow-up presentation on that topic after the governor’s budget is released. The department also described evidence-based prevention efforts, including home visiting programs such as Healthy Families America and a DCF-connected home visiting cohort for families already touching the child welfare system, as examples of trying to keep children out of deeper system involvement.

Transcript Highlights:

• fail treatment.
• programs.
• programs, the reentry programs. programs, and all these rehabilitative programs, that agreement to not
• So those programs I would.
• programs from.

Keywords: 988, house, all

Transcript Highlights:

• Thank you. side of the Medicaid program. On behalf side of the Medicaid program.
• to the fact that this program exists. to the fact that this program exists.
• this program to $1.25 million annually. this program to $1.25 million annually.
• <00:26:20.799> Thank support of the program. Thank support of the program.
• screening programs, Kentucky improved. screening programs, Kentucky improved.

Keywords: 958, all

Summary: The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation. The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation. Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.

Transcript Highlights:

• They're involved in the Comprehensive Everglades Restoration Program.
• based whatever your... ...also talk about our water quality improvement grant program.
• These are all kind of subset grant programs.
• A lot of these grant programs started in 2019, 2020, some in 2021, 2022.
• Either I'll turn it down because there's an existing grant program.

Summary: The Committee on Environment and Natural Resources convened with a quorum present, heard opening remarks from Chair Rodriguez and member introductions, and discussed broad priorities including water quality, climate change, budget oversight, and accountability for environmental investments. Members emphasized concerns about nutrient pollution, springs, Lake Okeechobee, the Everglades, and the need for better data and measurable results. The committee then received a presentation from DEP Deputy Secretary Adam Blaylock on the state’s water quality restoration framework. He explained how water quality standards, total maximum daily loads (TMDLs), Basin Management Action Plans (BMAPs), and reasonable assurance plans work together to address impaired waters, and noted that BMAPs are updated every five years with annual reviews in between. He also described recent statutory changes requiring five-year milestones, restrictions on new septic systems in certain areas, and public-facing data tools to track projects and water quality trends. Members questioned whether BMAPs are producing enough improvement and whether the five-year update cycle is too slow. Blaylock said results can take years because of project lag and environmental variability, but that the department can adjust plans if data show they are not working. He also highlighted $2.9 billion in statewide water quality funding since 2019, nearly 1,100 funded projects, and a $1.1 billion water quality improvement grant program that now covers impaired waters beyond BMAP areas. The committee discussed agricultural projects, DEP and FDACS funding roles, and a new dashboard and centralized monitoring platform under development. No formal votes or other actions were taken, and the meeting ended with adjournment moved by the vice chair.

Transcript Highlights:

• So they're getting copies of the pre-sentence investigation, treatment notes, treatment information,
• He works at BCI. ...who runs the 24-7 program.
• , education programs, supportive programs, treatment programs.
• These programs exist in prison.
• Statutorily, it is called a release program.

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• So they've examined several states that have parallels with Florida's program to determine whether or
• So they've examined several states that have parallels with Florida's program to determine whether or
• Chair Harrell mentioned Michigan, whose Medicaid program has open access policies for antipsychotics
• The bill could mitigate the need for those other costly treatments.
• When people have the right medications and the right treatment, they can transition off disability.

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:

• I used breathing treatments and antibiotics and steroids.
• So what I found is everybody that got early treatment in the first week survived.
• So what I found is everybody that got early treatment in the first week survived.
• We listed it in there just so that it's part of the record of what the treatment was.
• Of what the treatment was.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• your professional program. your professional program.
• It more than paid for our program.
• In fact, there was a multiple program.
• Medicaid program to fund other services. Medicaid program to fund other services.
• Going on to our third program, the Care Mobile. Um, I love the Care Mobile.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.