Transcript Highlights:

• "But we're— they're notifying us and we can at least monitor it or we can keep track of what events are
• "But we're— they're notifying us and we can at least monitor it or we can keep track of what events are
• "But we're— they're notifying us and we can at least monitor it or we can keep track of what events are
• "But we're— they're notifying us and we can at least monitor it or we can keep track of what events are
• "But we're— they're notifying us and we can at least monitor it or we can keep track of what events are

Keywords: 912, senate, all

Summary: The committee first heard SB 2627, which would exempt Hawaii Tourism Authority contracts and agreements for sports projects, events, and related marketing from the state procurement code and other competitive bidding requirements. HTA, DBEDT, and the State Procurement Office testified in support or with comments, while one individual offered general support for sports tourism. Senators focused on narrowing the bill so the exemption would apply more specifically to sports-related projects and marketing, rather than broad marketing activities, and discussed whether the bill should require notice to the State Procurement Office or approval by the chief procurement officer. Procurement officials said a reporting requirement would be the most expeditious option, while still allowing post-event monitoring and public posting of exemptions. Members also discussed whether the exemption should be limited to situations involving sole-source sports entities, such as major leagues or international sports organizations, to better justify bypassing procurement rules. The committee did not take a final vote in the portion provided, but members and testifiers agreed to continue working on the language. The hearing then moved to SB 2074 relating to state facilities and naming rights for the Aloha Stadium and Hawaii Convention Center. The Stadium Authority, HTA, and DBEDT testified in support, while the Outdoor Circle and other organizations opposed the measure. Opponents argued the bill could create fiscal and legal risk, echoing concerns raised in prior legislation and by the attorney general, and warned it would mark a major shift by treating public facilities as commercial branding opportunities. Supporters said naming rights could generate significant revenue to help fund the stadium project and reduce the burden on the state and developers. Senators questioned how signage would be handled, especially whether it would be exterior-facing or limited to inward-facing signage, and the Stadium Authority said it was willing to work with the Outdoor Circle on language that would preserve community aesthetics while allowing revenue generation. A senator cited a prior study estimating naming rights could bring in about $1.5 million per year over 20 years, and asked what that revenue would buy for the public; the Stadium Authority responded that it would help advance the project toward a larger, improved stadium. No final action was taken in the excerpt provided.

Transcript Highlights:

• Um, what House File 1935 does, it seeks MA rates increase for a type of a heart monitor that is a better
• And normally, the first entry-level is called a Holter monitor that only lasts for 48 hours.
• And normally, the first entry-level is called a Holter monitor that only lasts for 48 hours.
• entry level is called a halter monitor entry level is called a halter monitor that<00:16:09.120>
• So, there are other options on the marketplace to catch those people that may need a longer monitoring

Keywords: 1183, house

Transcript Highlights:

• We monitor participation and are collecting data on that.
• We monitor participation and are collecting data on that.
• We monitor participation and are collecting data on that.
• Um we monitor that uh we monitor basis.
• Um we monitor that uh we monitor participation<00:13:32.160> and<00:13:32.399> and<00:13

Keywords: 1183, house

Transcript Highlights:

• receive all the same care they would usually receive in the hospital, with continuous vital sign monitoring
• lung transplant and they regularly come in for routine visits that really could be completed and monitored
• Examples of asynchronous care that we offer at Boston Children's today include remote patient monitoring
• , which is monitoring the patients from their home on home devices.
• This would include remote patient monitoring with an expanded list of eligible conditions and also comprehensive

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• 2021, have identified the need for major improvements in the following areas: surveillance and monitoring
• request of $5.962 million is needed to fully fund phase three areas, excuse me, surveillance and monitoring
• The improvements, as Kristen mentioned, are primarily related to surveillance and monitoring, such as
• And then finally, cybersecurity, AG election monitors, and an election litigation fund. Thank you.
• They will also coordinate services for first... ...responder departments, monitor utilization trends,

Keywords: 988, house, all

Transcript Highlights:

• President, members of the chamber as well as those listening at home, we are monitoring the situation
• We will be gave tomorrow at regular time of 9:00 a.m., and we will be monitoring every situation throughout
• 25.040> be regular time of 9:00 a.m. and we will be regular time of 9:00 a.m. and we will be monitoring
• <00:56:25.839> every<00:56:26.160> situation<00:56:26.720> throughout monitoring
• every situation throughout monitoring every situation throughout the<00:56:27.280> weekend.

Keywords: 958, all

Summary: The Senate convened with an invocation and pledge, established a quorum, excused absent members, and approved the journal. During second reading, several bills and a joint resolution were reported to the Rules Committee, including measures on trauma center provider coverage, cremation, public library trustees, local occupational license fees and taxes, and a food-is-medicine resolution. The House also communicated passage of House Bills 176, 178, and 280 and requested concurrence. Committee reports advanced Senate Bill 39, Senate Bill 181 with a committee substitute, Senate Bill 17 with a committee substitute and title amendment, and Senate Bill 34. The chamber then took up and passed Senate Bill 13, which would allow military installations to have ex officio representation on nearby planning and zoning bodies to improve communication about land use near bases. It passed 37-0. Senate Bill 46, concerning school transportation, was amended by committee substitute to require background checks and drug testing for drivers of school vans and to extend van use to 10-passenger vehicles; it passed 37-0 after a brief clarification about the amendment’s display in the system. Senate Bill 22, expanding the dual credit scholarship program to support a teacher apprenticeship pathway, was amended to require a 2.75 GPA and then passed 36-1 after questions about employment status and liability; the sponsor explained it would help address teacher shortages and reduce student debt. The Senate also passed Senate Bill 90, which extends the behavioral health conditional dismissal pilot program from 2027 to 2031 to continue offering treatment-based alternatives to incarceration for eligible low-level offenders; it passed 37-0. Senate Bill 51, a proposed constitutional change to freeze property tax assessment increases for homeowners age 65 and older on their primary residence, also passed 37-0. Senate Bill 30 was passed over but retained its place in the orders of the day. The rules committee later posted Senate Bills 27, 40, and 76 for the next day, and the Committee on Committees referred Senate Bill 109 to Licensing and Occupations, Senate Bill 68 to State and Local Government, and Senate Resolutions 45 and 46 to the Senate floor.

Transcript Highlights:

• Our purpose is to monitor and promote legislation pertaining to TWAIA that serves the best interests
• effects, to cover reversals of any procedures, and to cover any testing or screening necessary to monitor
• that a company and has to continue providing coverage for procedures and treatment, screening, and monitoring
• I think that's something that this bill does really well, as it talks about the routine monitoring tests
• Line 12-2 says any testing. a screening necessary to monitor the mental and physical health of the enrollee

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Bills: HB111, HB103, HB109, HB128, HJM2, HJM3, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM11, HM14, HM21, HM34, HM50, HB49, HB60, HB108, HB120, HB124, HB145, HB154, HB158, HB164, HB180, HB291, HJR6, HJR7, HR1, HJM1, HM13, HM47

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• DWR would implement a performance monitoring program of KPIs designed to track cost, reliability, and
• That would allow DWR to monitor if and when O&M activities could be performed more cost-effectively by
• First, performance monitoring. Thank you. Governance across all three projects.
• First, performance monitoring, a formalized KPI metrics program that supports operational and financial
• transparency, trend monitoring, and clear decision trade-offs.

Keywords: 908, all

Transcript Highlights:

• But we do want to encourage districts to monitor their enrollment right now, especially if they're seeing
• :34.640> encourage<00:10:35.120> districts<00:10:35.519> to<00:10:35.760> monitor
• want to encourage districts to monitor want to encourage districts to monitor their<00:10:36.480
• multi-study found, [clears throat] excuse me, that when school nurses are present and actively monitoring
• at school, witnessed the monitored at school, witnessed the students<01:08:17.920> for<01:08:

Keywords: 1183, house

Transcript Highlights:

• Isn't even monitored.
• >> Isn't<01:01:49.520> even<01:01:49.760> monitored.
• There's not even >> Isn't even monitored.
• There's not even any<01:01:51.119> seismic<01:01:51.680> monitoring<01:01:52.079> and
• and none of you any seismic monitoring and none of you guys<01:01:53.040> ever<01:01:53.359><

Keywords: 912, senate, all

Summary: The committees first took up SB 3322 relating to law enforcement. Chairs recommended adopting amendments from the Department of Law Enforcement that would exempt plainclothes officers from identification requirements, limit conspicuous agency markings to vehicles used in immigration enforcement operations, and allow a plainclothes officer to wear a mask when within eyesight of an unmasked officer from the same agency while performing official duties. Although there was an initial quorum issue, both committees ultimately voted to adopt the chair’s recommendation and advance the bill as amended. The next major item was SB 3333 relating to property tax treatment for certain housing. Testimony was strongly supportive, including from a Maui County real property tax board member and a representative of Nali Maui, who described homeowners in affordable housing being taxed at much higher rates when exemptions were missed or when resale restrictions kept values below market. The committees recommended passing the bill with amendments, including a deferred effective date of April 19, 2042, and the recommendation was adopted. The committees also heard SB 2422 on a pro housing score program for counties, SB 2981 on eliminating minimum off-street parking requirements in urban districts, SB 2007 on county land use boundary amendments, SB 3028 on restructuring the conveyance tax to a marginal rate system, SB 3033 on public petitions for review of beach structures, and SB 2434 on electric vehicle infrastructure. SB 2422 drew support with a request for flexibility and an appeals process for counties facing extraordinary circumstances; the chair’s recommendation was to pass it with amendments and note a $200,000 implementation study request, which was adopted. SB 2981 received strong support from housing and transportation advocates and was advanced unamended, while SB 2007 drew opposition from the Sierra Club and discussion about the Land Use Commission’s limited enforcement tools and the number of approved but unbuilt units. SB 3028 received mixed testimony, with support for the marginal-rate change but concerns about earmarking and blanks in the bill, and SB 3033 was supported as an early-warning mechanism for erosion-threatened coastal structures, though OPSD said it should not be the regulatory decision-maker. SB 2434 prompted concern about whether utility capacity can support EV infrastructure goals, with the chair citing a recent report suggesting transmission and distribution constraints.

Transcript Highlights:

• Um, there are a number of people, and I know Mayor Kawakami has a meeting, but he is also monitoring
• So when me when is also monitoring this.
• Fukushima mentioned, a crash course is not sufficient to give training and to monitor these patients
• Fukushima mentioned, a crash course is not sufficient to give training and to monitor these patients
• Fukushima mentioned, a crash course is not sufficient to give training and to monitor these patients

Keywords: 912, senate, all

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• <01:03:36.119> the market are also closely monitoring the market are also closely monitoring
• We have closely monitored the board's actions as they considered the development of the two standards
• We have closely monitored the board's actions as they considered the development of the two standards
• We have closely monitored the board's actions as they considered the development of the two standards
• We have closely monitored the board's actions as they considered the development of the two standards

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house

Transcript Highlights:

• Explicit FNS guidance makes it clear that they will monitor the compliance for these waivers.
• investigators to monitor compliance. investigators to monitor compliance.
• they will monitor the compliance for<04:38:18.240> these<04:38:18.480> waiverss.
• I said FNS will monitor so the state doesn't have to.
• the federal agency FNS is monitoring. the federal agency FNS is monitoring.

Keywords: 1189, house, all

Transcript Highlights:

• About $11.5 million goes directly to actual remediation work, groundwater monitoring work, or work to
• Seeing none, the chair thanked the witness for his time. monitoring work or work to uh to monitoring
• report provided to Dees um um monitoring report provided to Dees um it<05:49:17.478> already<
• <05:50:14.920> Wells upgradient um monitoring Wells upgradient um monitoring Wells particularly
• um results uh July 2024 monitoring um results uh submitted<05:50:51.680> to<05:50:52.120>

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee met in work session on several bills, beginning with HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training. Members said the bill had been sent to the Animal Protection and Licensing Subcommittee, where Representative Kuttab is expected to schedule a meeting soon to consider possible amendments based on testimony and other ideas. The committee later returned to HB 153 and confirmed a work session was planned for February 14, with discussion also including whether to explore a task force concept raised in testimony. The committee also discussed HB 215 and HB 566, both related to landfill permitting and leachate or harm/benefit reporting. Representative Gerana said he had met with the DES director and was working on amendments that would add a preliminary screening phase for determining net public benefit and expand the list of benefits beyond capacity need to include items such as economic and infrastructure benefits. HB 566 was said to be in the same posture as HB 215, and both were slated for subcommittee review the following Tuesday morning. HB 171 was also added for subcommittee discussion, with members saying the changes would be technical rather than substantive. HB 240, which removes forfeiture penalties for non-payment of dog licenses, drew support for a simple amendment changing a statutory “shall” to “may” so municipal officials would have discretion about issuing a warrant. Representative Bixby said OLS advised that this was the cleanest way to provide flexibility, and he reported that the sponsor was agreeable to the change. The committee also discussed HB 179, concerning hazardous waste accident fees, where the sponsor proposed a revised amendment imposing a $1,000-per-day penalty after 90 days of non-payment. Members raised concerns about homeowners, hobby farmers, and whether the bill could unfairly burden people who were not negligent or whose insurance claims were delayed. The sponsor and others said the intent was to recover costs from responsible parties, especially businesses, and to protect local taxpayers and fire departments from bearing the cost of damaged hazardous materials equipment. No votes were taken; the bills were left for further subcommittee work and amendment drafting.

Transcript Highlights:

• Just to kind of bring it back, I was not personally present, but I was monitoring some of the testimony
• Federal agents monitor private medical interactions and restrict access to families and legal counsel
• Federal agents monitor private medical interactions and restrict access to families and legal counsel
• The patient was monitored by federal agents for about a month.
• It's already monitored by the DMHC and the Financial Solvency Standards Board. Thank you.

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• Um, I would also state, uh, as we may have mentioned in previous hearings, you know, CMS is monitoring
• the state's implementation of these new requirements, and there are other areas where they're monitoring
• 05.680> is previous hearings, you know, CMS is is previous hearings, you know, CMS is is monitoring
• the state's implementation of monitoring the state's implementation of these<00:43:08.160> new
• <00:43:12.319> the other areas where they're monitoring the other areas where they're monitoring

Keywords: 919, house, all

Summary: The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match. Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment. The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.

Transcript Highlights:

• have to be addressed, and we'll have to have the systematic changes to operationalize those things, monitor
• to to uh operationalize<00:12:20.880> those<00:12:21.120> things,<00:12:21.680> monitor
• operationalize those things, monitor operationalize those things, monitor those<00:12:22.399>
• built into this, and that's for maintenance and operation of continued operating, continuously monitoring
• Because there's going to have to be increased monitoring and oversight, and particularly as it relates

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• Next, we'll take up tab 26, Senate Bill 1054 on tampering with electronic monitoring device by Senator
• SB 1054 reinforces accountability and upholds the effectiveness of electronic monitoring as a tool for
• Offenses range from a third-degree felony for those monitored due to a misdemeanor to a life felony for
• those under monitoring due to a life or capital felony.
• Pretrial release consequences: any individual who tampers with their monitoring device while on pretrial

Summary: The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved. The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably. The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.

Transcript Highlights:

• Wetland replacement project<00:41:08.480> and<00:41:08.599> then<00:41:08.760> monitoring
• <00:41:09.400> it<00:41:09.760> and project and then monitoring it and project and
• then monitoring it and releasing<00:41:10.440> those releasing those releasing those credits<00
• c><01:00:10.359> that<01:00:10.440> would<01:00:10.599> have the increased monitoring
• that would have the increased monitoring that would have to<01:00:10.839> be to be to be done

Keywords: 1183, house