Transcript Highlights:

• Law enforcement, local officials, and public safety experts warn against this.
• Law enforcement, local officials, and public safety experts warn against this.
• Of course, you'd have to put on experts who would present that evidence.
• They have evidence, expert testimony to the jury, and convince them.
• They have evidence, expert testimony to the jury, and convince them.

Summary: The committee first heard HB 133, which would lower the minimum age to purchase a long gun from 21 to 18. The sponsor said the bill restores the rights of law-abiding 18-year-olds. Public testimony was sharply divided, with supporters from Gun Owners of America and Florida Carry arguing that adults 18 and older should have equal Second Amendment rights and that current law is inconsistent with other adult responsibilities, while opponents, including gun violence prevention advocates, students, parents, and Parkland-related speakers, said the bill would reverse a post-Parkland safety measure and increase risks of suicide, accidental shootings, and school violence. Several members debated the bill, with opponents emphasizing Parkland, the Florida State shooting, and public polling showing broad opposition; supporters stressed parental responsibility, mental health, and constitutional rights. HB 133 was then reported favorably on a roll call vote of 13 yeas, with several members voting no. The committee then took up CS/HB 289, which would revise Florida’s wrongful death law to allow parents to recover damages for the death of an unborn child. The sponsor said the bill is intended to let grieving parents seek civil remedies, and members questioned how it would apply in situations involving surrogacy, rape, ectopic pregnancy, medical care, and damages calculations. The sponsor said the bill would not allow suits against the mother, would not apply to lawful non-negligent medical care, and would be handled through ordinary wrongful death damage proof before a jury. Public testimony was again split: supporters from pro-life and faith groups said the bill recognizes unborn children and aligns Florida with many other states, while opponents from civil liberties, reproductive rights, and advocacy groups warned it could be used to target abortion providers, helpers, and even families or businesses in miscarriage-related cases, and could be weaponized by abusive partners. The transcript ends during testimony on HB 289, with no final vote shown in the excerpt.

Transcript Highlights:

• And at a certain point, we have traffic engineers in our cities who are experts on how to design these
• You know, we have traffic engineers in our cities who are experts on how to design these projects in
• We want the community input going into that process, and then we want the traffic experts to actually
• They're experts. They're professionals. It's what they do.
• They're experts. They're professionals. It's what they do.

Committee: Senate Local Government

Transcript Highlights:

• I'm going to let my experts answer that question because I got some really great experts that you're
• I am not exactly an expert on HIPAA, but our policy expert—and, number one, I want to say, I really appreciate
• So appreciate Representative Katyn's willingness to engage with us and our subject matter experts on
• So our subject matter experts—at MHA, we have something called the Hospital Industry Data Institute.
• I'm not an expert in that. Okay.

Committee: House Health and Mental Health

Summary: The Committee on Health and Mental Health heard testimony on several bills. Senate Bill 1019, sponsored by Sen. Crawford, would let district and municipal hospitals invest up to 50% of non-operating funds, up from 25%, and would also allow municipal hospitals in third-class cities to operate in areas where hospital district and county hospitals operate. The sponsor and a hospital representative said it would improve returns and rural access; there was no opposition, and the hearing closed without questions. House Bill 2606, sponsored by Rep. Caton, would give patients stronger control over their health records by requiring informed consent before providers or medical entities sell or disclose information for marketing or research, with civil remedies and damages for violations. Supporters argued it restores patient ownership, strengthens privacy beyond HIPAA, and closes loopholes, citing Minnesota’s law as a model. Opponents, including the Missouri Hospital Association, Missouri State Medical Association, Washington University, and the Missouri Ambulance Association, warned it could disrupt care coordination, quality improvement, research using de-identified data, and data reporting obligations, and could create administrative burdens and lawsuits. The Secretary of State’s office said it wanted an amendment so records could still be used 50 years after a patient’s death for archival and genealogy purposes. House Bill 1638, sponsored by Rep. Overcast, would extend the Alzheimer’s State Plan Task Force to 2033, add an assisted living facility representative, create staggered terms, remove Senate confirmation requirements, and require updated reports every five years. The sponsor and the Alzheimer’s Association said the task force has been delayed by appointment problems and needs to be fully staffed to continue its work. The committee also discussed the task force’s prior incomplete staffing and the need for continuity, and the hearing concluded with no opposition.

Transcript Highlights:

• Serious emotional injury shall be established by testimony of qualified experts upon reasonable expectation
• , or physical conditions, serious emotional injury shall be established by testimony on qualified expert
• of qualified injury shall be established by testimony of qualified experts upon reasonable expectation
• I could testify as a victim, but I'd like to testify more as an expert witness on this.
• So I guess we're going to depend on experts.

Committees: House Judiciary , House Judiciary and Civil and Criminal Jurisprudence

Transcript Highlights:

• Just in case you're not intimately familiar with it, this would be money that is paid for expert witnesses
• we couldn't—I mean, there are certain cases you just simply can't prosecute if you don't have an expert
• witness come testify and I have no money to pay that expert, I would simply never bring that case.
• We have experts in our office, board-certified lawyers.
• We have experts in our office, board-certified lawyers. I am a board-certified juvenile lawyer.

Committee: Senate Appropriations Committee on Criminal and Civil Justice

Summary: The committee met for an interim appropriations presentation hearing focused on justice administration agencies. Members heard budget requests from the State Attorney’s Office, Public Defenders, the Justice Administrative Commission, Regional Conflict Counsel, Capital Collateral Regional Counsel, and the Guardian ad Litem Office, followed by a presentation from the Department of Juvenile Justice and a brief public comment from a nonprofit advocate. The chair noted that presentations from the Department of Law Enforcement and the Commission on Offender Review would be moved to a later meeting. The state attorney requested funding to true up underfunded circuits under the existing formula, staff 14 new criminal judgeships, replace declining VOCA victim-services funding with general revenue, and cover a projected due process shortfall. The public defender asked for a higher starting salary for assistant public defenders, funding to restore balance in circuits where public defenders lag behind state attorneys, and staffing for new criminal judgeships. Regional conflict counsel and capital collateral regional counsel also sought salary adjustments, additional attorneys and case costs, and competitive area differential funding to address recruitment and retention issues. The Justice Administrative Commission requested funding for Florida PALM readiness and implementation and for IT hardware and software replacement; it also relayed a clerks’ request for reimbursement related to injunctions for protection, Baker Act, Marchman Act, and sexually violent predator cases. The Guardian ad Litem Office said it now has a guardian ad litem for every child in Florida and requested salary increases for senior and managing attorneys to reduce turnover. The Department of Juvenile Justice presented a much larger budget request to expand residential and detention capacity, increase per diem rates, renovate and replace aging facilities, fund the Broward detention center rebuild, improve cybersecurity and the juvenile information system, and cover rising lease costs. Members asked questions about staffing, compensation, detention and residential treatment needs, mental health and substance-use services, and the Broward project timeline. A nonprofit advocate then asked for better data collection on protection orders and related court actions to support funding for domestic violence and recovery services. The committee adjourned without taking any formal votes on the budget requests.

Transcript Highlights:

• I have just a brief response, and I'm going to turn it over to our technical expert.
• Lackey, I... response and I'm going to turn it over to our technical expert.
• I ...over to our technical expert to more specifically answer your question.
• So the more serious the offense, what I have seen, again, I just don't take it for expert offense, what
• I have seen, again, I just don't take it for expert opinion, but just for my experience, I've seen that

Committee: House Public Safety

Summary: The Assembly Public Safety Committee met to consider several Senate bills, first adopting a five-bill consent calendar that included measures on missing and murdered Indigenous persons, peace officers, prison clearances, and related public safety topics. SB 221 by Senator Ochoa-Bogh was pulled from the agenda for later consideration. The committee then heard SB 281 by Senator Perez, which would require judges to use the exact statutory immigration-consequences advisement for noncitizen defendants. Supporters said the bill would restore consistency and avoid confusion, while district attorneys warned it could create plea-withdrawal problems and sought amendments; the bill was held on call after a split vote. The committee next heard SB 337 by Senator Menjivar, a broad prison-safety bill focused on women’s prisons, including documentation of searches, body-camera rules, grievance timelines, hiring restrictions for staff with violent or sexual convictions, and stronger oversight of investigations. Supporters said it would improve transparency and protect incarcerated people from abuse; opposition testimony focused largely on transgender inmate placement and was criticized by members as not germane. The bill passed 9-0 to Appropriations. SB 379 by Senator Jones, which would add Department of State Hospitals oversight to sexually violent predator conditional release placements, also passed to Appropriations after support from law enforcement and district attorney groups and opposition from criminal justice advocates. Later, SB 734 by Senator Caballero passed to Appropriations. It would give law enforcement officers due process protections when findings from California Racial Justice Act hearings are later used in employment or decertification proceedings. Supporters argued officers should have notice and a chance to defend themselves, while the bill was presented as not changing defendants’ CRJA rights. Finally, SB 551 by Senator Cortese, which would codify normalization and dynamic security principles in corrections policy to promote rehabilitation and safer prison conditions, passed to Appropriations despite objections that prisons should remain punitive. The committee adjourned after updating vote records and announced its next hearing would be July 1 in Room 126.

Transcript Highlights:

• That's as I understand it right now, but I know that we'll also have some expert testimony to maybe clarify
• And so, again, I'm not an expert in this by any stretch.
• And so, again, I'm not an expert in this by any stretch.
• I'm not an expert in this by any stretch.
• At the end of the day, the hospital is still liable for the care in that setting. expert in this by any

Committee: House General Laws

Summary: The General Laws Committee met without a quorum and heard House Bill 2749, sponsored by Rep. Davidson. The bill would allow hospital systems, rather than only individual physicians, to sign and maintain collaborative practice agreements for physician assistants in hospital settings. The sponsor said the measure is intended to reduce administrative burden and paperwork without changing scope of practice, supervision requirements, or liability, and noted it has a $0 fiscal note. Committee members asked about how the bill would work in practice, including what happens when physicians leave a hospital system, whether the collaborating physician relationship would still be meaningful, and whether the bill could affect liability or accountability. Supporters, including a long-time PA with BJC and the Missouri Hospital Association, said large hospital systems already use credentialing and chart-review processes, and that centralizing the paperwork would help hospitals, physicians, and the Board of Healing Arts while freeing physician time for patient care. They emphasized that the bill would not change clinical oversight or reimbursement arrangements. Opposition came from the Missouri State Medical Association and the Missouri Association of Osteopathic Physicians and Surgeons. Their witness argued that collaborative practice agreements are personal physician agreements, not mere paperwork, and warned that shifting them to a hospital-level document could weaken physician accountability and potentially increase liability. The hearing concluded after testimony, with no vote taken.

Transcript Highlights:

• The experts, most of the experts I've talked to outside of advocates, have agreed.
• The experts, most of the experts I've talked to outside of advocates, have agreed.
• The experts, most of the experts I've talked to outside of advocates, have agreed.
• The experts, most of the experts I've talked to outside of advocates, have agreed.
• The experts, most of the experts I've talked to outside of advocates, have agreed.

Transcript Highlights:

• Anytime you're ready. do this work um diving experts do this work um diving experts uh<01:31:24.760><
• Diving experts um again wanting to be Diving experts um again wanting to be sure<01:47:22.360><c> that
• </c><01:48:05.280><c> diving</c><01:48:05.719><c> experts</c><01:48:06.239><c> and</c><01:48:06.920><
• c> um</c> input from experts diving experts and um input from experts diving experts and um you<01:48
• </c> with the department and with the experts with the department and with the experts um<01:48:28.239

Committee: Senate Environment, Climate, and Legacy

Transcript Highlights:

• And with me today is our director, Steve Gordon, Kristen, our policy expert.
• In other words, they're generic experts at implementation of IT.
• , but they're not experts at implementation.
• In other words, they're generic experts at implementation of IT.
• , but they're not experts at implementation.

Summary: The committee first heard a DMV budget presentation on the state-to-state verification system required for Real ID compliance and the Digital Experience Platform (DXP) modernization project. DMV officials said the state-to-state system is a pointer-based exchange used when a person applies for a license in another state, with only limited identifying data shared initially and the full driver history sent only after a qualified request. Members raised concerns about privacy, possible misuse by other states or federal actors, notification to Californians, hacking, and whether California could detect or stop abusive access. DMV said it can monitor requests, see patterns of access, work with AAMVA and legal counsel, and seek to block or challenge misuse; LAO said California is in a difficult position and should consider guardrails rather than opt out. On DXP, DMV said the project is on its revised schedule and budget, occupational licensing is complete, vehicle registration is expected by the end of calendar year 2026, and the full system should be finished by fiscal year 2028-29, with phased rollout and reappropriated funding to keep costs controlled. The committee then heard from the California High-Speed Rail Office of Inspector General on a trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a framework for retaining and disclosing work papers, and the proposed trailer bill would create that framework while also adding authority to hire needed classifications and purchase goods and services. He also said the office needs a clearer statutory definition of “proposed agreements” and notice when the High-Speed Rail Authority is reviewing them, so the office can review contracts and related agreements effectively. LAO raised no concerns with the trailer bill language, and Finance said any amendments would come in the May revision. Members debated the scope of confidentiality in the Inspector General proposal, especially whether reports could be held confidential when they identify weaknesses in fraud controls, security, or other vulnerabilities. The Inspector General said confidentiality would be temporary, tied to articulating the risk, reassessing it every 120 days, and releasing the report once the risk is no longer substantial; he also said the office had already published reports at its discretion and had found at least one procurement violation involving an amendment that added services not in the original contract. Several members pressed for stronger transparency and suggested time limits or broader disclosure, while others argued the bill would improve oversight and make the Inspector General’s authority clearer. No votes were taken during the discussion, and the item was left for further work on the trailer bill and AB 1608 language.

Transcript Highlights:

• Unless you are an expert, could you please make sure you limit your opinion pieces to two minutes or
• Is any of this—are you an expert in this, or is this your opinion of what you're seeing?
• I'm not an expert.
• So as the experts testify either for or against, we might have another conversation.
• I'm sure the experts will.

Committee: House Special Committee on Intergovernmental Affairs

Summary: The committee first took up several executive-session items and voted H.J.R. 189 do pass by a roll call of 11 ayes, 1 no, and 1 present. It then adopted a committee substitute for House Bill 2139, with the substitute removing specific references to Sharia law and broadening the language to apply to foreign law generally; the committee then voted the House Committee Substitute for HB 2139 and HB 2175 do pass by 10 ayes and 2 noes. The committee also adopted a substitute for House Bill 3051 that removed manufacturer language and focused the bill on car dealers and the Department of Revenue, then voted that House Committee Substitute do pass by 7 ayes, 5 noes, and 1 present. Later, the committee adopted an amendment and substitute for House Bill 2908 and HB 2990 and voted that combined committee substitute do pass by 13 ayes and 1 no. The bulk of the meeting was devoted to House Bills 2388 and 2656, which would ban geoengineering, weather modification, and cloud seeding in Missouri. Sponsors and supporters argued the bills were needed to stop pollution, protect air, water, soil, agriculture, and public health, and to mirror laws or proposals in other states such as Tennessee, Florida, and Louisiana. Testimony from supporters included claims that these practices are already occurring, that federal and private actors are involved, and that the bills would provide a needed state-level prohibition and deterrent. Several witnesses also argued that weather modification and geoengineering raise consent, environmental, and health concerns, while a Missouri Farm Bureau representative said the organization opposes unregulated commercial weather modification as a proactive measure. The committee also heard extensive testimony on a solar-energy bill, House Bill 2478, presented as a vehicle for a committee substitute focused on safety issues around solar farms. The sponsor said the substitute would likely address setbacks, fire safety, alarms or notification systems, soil testing, and liability/decommissioning concerns, while trying to balance landowner rights with neighboring property owners’ safety. Witnesses in support raised concerns about fire risk, toxic materials, runoff, and the loss of agricultural land, and some urged stronger civil liability provisions. Committee members questioned whether the bill should be handled at the county level, whether existing legal recourse already exists for damaged neighbors, and which provisions would remain in the substitute. No final vote on HB 2478 was taken in the portion provided.

Transcript Highlights:

• They are the subject matter experts. They know those topics, those areas better than anybody.
• I mean, they're true experts in their areas of study, their areas of expertise. expertise, and so we
• I'm not the expert on that topic.
• And some of the experts think that's too many.
• Listen to those experts who are doing it day after day after day who are doing it sometimes for being

Bills: SB37 , SB1489 , SB452 , SB724 , SB1067 , SB1741 , SB1273 , SB 37

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• I had my technical expert here. Mr.
• I had my<00:08:58.640><c> technical</c><00:08:59.120><c> expert</c><00:08:59.519><c> here.
• </c><00:09:00.560><c> Chairman,</c> my technical expert here. Mr.
• Chairman, my technical expert here. Mr.
• And I'm seriously not an expert on this, but I think that at this session of the legislature, we need

Committee: Joint Finance

Transcript Highlights:

• Can you briefly explain the amendment, you and your expert?
• My expert, Dharma, and I will stand for questions. Excellent.
• Thank you to the expert.
• But I, you know, I don't feel like I'm an expert enough to be able to say without a doubt.
• And I'd like to introduce my experts this evening, Henry Valdez. Thank you.

Summary: The committee first took up House Bill 253, a committee substitute dealing with virtual and distance learning programs and school funding. Sponsors and staff explained that the substitute removed several earlier restrictions on virtual education, including residency requirements, the 10% enrollment cap, the ban on K-5 distance programs, and the moratorium on new enrollments. It also changed the State Cyber Academy Act to the Distance Learning Act, added reporting and evaluation requirements for districts and charter schools, and allowed the Public Education Department to withhold funding if programs are out of compliance. Members discussed concerns about impacts on rural districts, charter schools, and programs like Mosquero and the New Mexico Communications Academy, as well as the temporary funding fix for Gallup Public Schools, which was amended to average prior-year and current-year enrollment rather than use current-year membership alone. Public testimony on HB 253 was largely supportive, with school leaders and education organizations backing the amendment and the broader substitute while noting that more work may be needed on oversight and funding formulas. Committee members then debated the bill’s temporary provisions, the study requirement, and whether the changes would adequately address the Gallup funding issue and broader virtual-learning accountability. The committee adopted the amendment and then gave the House Appropriations and Finance Committee substitute for HB 253 a do pass recommendation. The committee then heard House Bill 153, a voluntary industrial decarbonization package that combines an Environmental Product Declaration grant program, a rebate or incentive program for lower-carbon building materials, and production tax credits and capital grants for eligible industrial products. Members asked detailed questions about environmental product declarations, hydrogen, anti-donation concerns, funding sources, and whether the bill would support sawmills, engineered wood, biofuels, and forest-thinning-related industries. Supporters from the Greater Albuquerque Chamber of Commerce and Clean Air Task Force testified that the bill would encourage innovation, attract private investment, and reduce emissions without imposing mandates. The committee adopted the substitute and then voted do pass on the bill, with Representative Brown noted in opposition. Finally, the committee heard House Bill 255, which consolidates public safety workforce funding into a single competitive fund for recruitment, retention, and professional development in law enforcement, firefighting, corrections, and public attorney offices. Testimony from counties, the chamber, AFSCME, and State Police supported the measure as a targeted response to staffing shortages and public safety vacancies. The committee took no extended debate and approved HB 255 with a do pass recommendation. The meeting ended with notice that the committee would meet again the next day.

Transcript Highlights:

• In statute, and I will ask our expert from the OSI to testify to this, but within statute due to another
• So, Madam Chair, Senator, and expert, does that person get a 1099 tax form from the IRS as a consequence
• Madam Chair, Senator, expert, I would not claim to be a tax expert.
• Madam Chair, Senator, and expert, I would not claim to be a tax expert, but if I'm forgiven a loan of
• So, Senator and an expert witness, is this committee the entity that sets the percentage of which of

Summary: The committee first took up Senate Bill 20, a prior-authorization and step-therapy measure, on a committee substitute that had already incorporated many stakeholder changes. The sponsor and agency witnesses described revisions to definitions of chronic health condition and serious mental illness, shorter prior-authorization periods, and limits on reporting requirements. Supporters, including a nurse practitioner and disability advocates, said the bill would reduce barriers to needed medications and urged broader protections for chronic and behavioral health conditions. Health insurance and pharmacy benefit management representatives remained opposed, arguing prior authorization is an important patient-safety tool and objecting to the bill’s limits on its use. Senator Hickey offered two amendments: one to conform electronic prior-authorization response times to existing law by changing seven days to three, and one to restore the prior-authorization period from 12 months to three years. The first amendment was accepted; the second passed on a 5-4 vote. The committee then approved the amended substitute 6-3. The committee next heard Senate Bill 111, which would expand the confidentiality of personal information held by the Motor Vehicle Division to include sex, gender identity, national origin, and immigration status. Tax and Revenue officials explained that the bill would not change what documents MVD collects, but would limit disclosure of sensitive information contained in scanned records unless a statutory exception applies. Members asked about what appears on licenses, what is stored in MVD’s system, and whether law enforcement access would change; officials said criminal law enforcement exceptions would remain in place and that the bill mainly affects public disclosure requests. The committee voted 8-1 to give the bill a do-pass recommendation. Senate Bill 218, funding a Los Alamos Emergency Operations Center, was presented as a regional disaster-response and training facility for northern New Mexico. Los Alamos County witnesses said the project would support emergency management training and coordination across the region and requested $5 million. Several senators questioned whether the county had explored bonding, intergovernmental agreements, or regional cost-sharing, and raised concerns about Los Alamos’s debt capacity and whether the project was truly regional. Supporters said the county has a long capital backlog and that the center would serve communities from Santa Fe north. The committee ultimately voted 9-1 to advance the bill. Finally, the committee heard Senate Bill 14, a major health professional loan-repayment proposal. Senator Hickey described it as an effort to recruit and retain physicians, nurses, and other allied health professionals by increasing repayment amounts, prioritizing physicians and doctors of osteopathic medicine for 50% of the fund, and allowing service commitments with some flexibility, including part-time work. Supporters from medical, nursing, and behavioral health groups said the bill would help address workforce shortages and make New Mexico more competitive. Committee members asked about the inclusion of physician assistants, the 90-day start requirement, anti-donation concerns, tax treatment, tribal and IHS providers, and whether the 50% physician set-aside would leave enough for other professions. After discussion, the committee voted 10-0 to send the bill forward with a do-pass recommendation.

Transcript Highlights:

• I'll get into the presentation and then turn it over to my two experts.
• Before I go to my experts, I just want to share some history of this legislation.
• Madam Chair, we also have another expert. Okay, and that is. Van Rossum, I believe. Is she online?
• Who are also co-sponsors, and Representative Fernandez, and then our expert with this, my Van Rosen.
• Madam Chair, do you all want your expert to speak or not?

Committee: House Water & Natural Resources Committee

Transcript Highlights:

• Now, as we dive into business today, it is my pleasure to welcome some expert panelists who will share
• Prior to that, I was the organizational efficiency expert for a number of different organizations.
• And I'm going to balance this out in saying our three experts and then our CTO, right?
• And I'm going to balance this out in saying our three experts and then our CTO, right?
• I'm not a resident data center expert, but I'll try my best.

Summary: The subcommittee met to hear a panel discussion on artificial intelligence and automation in Florida government. Panelists from Worldwide Technology, OpenAI, the James Madison Institute, and the Florida Digital Service described AI as a tool to improve efficiency, constituent services, fraud detection, translation, HR workflows, public safety, and regulatory review, while emphasizing that AI should supplement rather than replace workers. They also stressed the importance of data readiness, workforce training, governance, and having existing technology systems and policies in place before broader deployment. Members asked about public records concerns, vendor vetting, model integrity, and how to balance innovation with privacy and security. Chief Schoonover said agencies are already using or exploring AI in areas such as Medicaid analysis, environmental data, emergency management, tax forms, and child support, and noted that the Digital Service publishes prohibited vendor and application lists. OpenAI discussed its red teaming, safety evaluations, privacy controls, and government products such as ChatGPT Gov, and said it does not train on personal data or target users with ads. The committee also discussed concrete examples of efficiency gains, including reduced call times, faster translation turnaround, and streamlined HR classification work, as well as concerns about job disruption and constituent access. In closing, members raised data center infrastructure and energy needs, with panelists noting that AI depends on substantial compute, power, cooling, and utility capacity. The chair concluded by encouraging continued dialogue and noting that future AI legislation should be targeted to specific problems rather than overly broad.

Transcript Highlights:

• been working really hard over the last couple weeks to put together this panel discussion today of experts
• that cover most of the areas that discussion today of experts that cover most of the areas that our
• in your field of all the areas of the jurisdiction that we have. experts in your field of all the areas
• So rather than a bedside nurse and the case manager doing that, bring an expert who's an expert in that
• I'm going to treat you like an expert witness.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• And I'm told by, or I guess secondhand through nonprofit law experts, that these are actually in favor
• I guess secondhand through nonprofit or I guess secondhand through nonprofit law<00:09:28.000><c> experts
• ><c> these</c><00:09:28.880><c> are</c><00:09:29.040><c> actually</c><00:09:29.279><c> in</c> law experts
• that these are actually in law experts that these are actually in in<00:09:29.760><c> favor</c><00:09

Bills: HB248

Committee: Senate Fiscal Responsibility and Economic Development

Transcript Highlights:

• It's because you still need those experts to be able to QA or do quality concerns and quality control
• So those domain experts don't go away. Those programmers don't go away.
• It has to be a partnership with the domain experts.
• You know, even if you’re not an expert in that system, does this smell right?
• They are also putting on technicians and other experts to help us work through these challenges.

Committee: House Subcommittee on Appropriations - General Administration

Summary: The subcommittee held an informational hearing on the Information Technology Services Division (ITSD) within the Office of Administration, with no quorum present and no formal action taken. Chair Voss said the purpose was to review ITSD’s programs, budget needs, and future plans, and members emphasized the value of an informed appropriator. Representative Riggs cautioned that the state should avoid jeopardizing federal broadband funding and asked that AI-related work remain consistent with federal expectations. ITSD leadership, including CIO John Loren and Deputy CIO Tara Damp, outlined the division’s scope and recent modernization efforts. They said ITSD supports 15 executive agencies plus the governor and lieutenant governor, manages about 1,200 production software solutions, handles roughly 35,000 help desk requests per month, and defends against billions of cyberattacks monthly. They highlighted investments in layered security, data center and network redundancy, a unified Microsoft 365 environment, modern development tools, and portal platforms. Damp reviewed the history of IT consolidation, noting budget reductions after 2007, then increased investment beginning in 2020 and especially with ARPA funds in fiscal 2023. Members asked about spending projections, subscription-based licensing, procurement modernization, and the role of non-consolidated agencies such as MoDOT and Conservation. The committee also discussed future funding needs and benchmarking. ITSD said its current spending is about $287 million, with a projected ongoing need of about $345 million to maintain and modernize services, while Gartner comparisons suggested Missouri spends less per employee and as a share of operating budget than peer states. Members asked for more detailed fiscal-year spending profiles for major initiatives and for clarification on what is and is not included in the projections, including Social Services and HR1-related work. ITSD said it would provide additional detail. A major portion of the hearing focused on AI strategy and governance. Tim Marsheski, ITSD’s director of AI and innovation, described a cautious, pilot-based approach centered on secure use, human oversight, and data governance. He cited examples such as an internal HR chatbot that reduced average response time from about 45 minutes to two minutes, pilots with DESE data transformation, and efforts to use AI for code assistance, document scanning, and workflow support. Members asked about workforce impacts, training, closed versus open models, and whether AI could help with auditing and fiscal analysis. ITSD said it is still early on workforce forecasting, but it is building governance, acceptable-use policies, and feedback loops to test tools, measure results, and scale only when they provide value and remain secure.