Transcript Highlights:

• than five graduates in graduate programs at the master's and doctoral level. ...graduate programs at
• If you think about every program as a row in an Excel spreadsheet—2,000 programs—but that was inclusive
• They're just programs.
• And these would be professional programs only, not traditional master's programs.
• So that would be post-baccalaureate degree programs, excluding those professional programs of law, OT

Keywords: 908, all

Transcript Highlights:

• Both programs are under federal receivership due to the lack of compliance with the court programs are
• I'm not sure exactly when these, the programs began and when funding began for these programs.
• So often these programs, and time.
• I'll note that the program is very, very small—it's only five people in this program that run it for
• I'll note that the program is very, very small—it's only five people in this program that run it for

Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.

Transcript Highlights:

• of the program, 168.
• of the program, 168.
• House Bill by Representative Larvanay and MJ Foster Promise Program, eligibility programs, initial age
• House bill by Representative Larvanay and MJ Foster Promise Program, Eligibility Programs, initial age
• House Bill by Representative Bryant, program for inmates; establishment of programming pilot program;

Summary: The House convened with a quorum, received and accepted multiple resignation notices from members representing Districts 37, 39, 60, 69, 97, and 100, and then recognized the election and qualification of the members-elect who filled those vacancies: Doyle Boudreau, Reese Broussard, Chasity Verrett-Martinez, and Edwin Murray. Each member-elect was sworn in, and the House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session. The chamber then handled a large number of procedural actions related to prefiled legislation. By motion and without objection, the House suspended rules to refer prefile bills to committee and introduced a broad slate of House bills and resolutions. Topics included the state budget and appropriations, retirement system changes, carbon capture and sequestration, criminal justice and bail, public safety, education, health care, local government matters, transportation, and several memorial or commemorative resolutions. Several resolutions and bills were noted as lying over, and some prefiled bills were withdrawn from the files. The House also received a Senate message that SCR 1 had been adopted, and the resolution was taken up without objection. The chamber then recessed for a joint session with the Senate to hear the governor’s address and a presentation honoring Technical Sergeant Adam W. Brister with the Distinguished Flying Cross. In his remarks, Governor Jeff Landry highlighted his administration’s priorities, including education, tax reform, workforce development, health and nutrition, insurance reform, transportation infrastructure, fiscal discipline, and criminal justice reform, while urging support for his agenda and several related bills and constitutional amendments.

Transcript Highlights:

• Of the six programs, current enrollment programs.
• These are very different programs.
• But they can access this, and we have two programs now at two of our colleges: a pharmacy tech program
• Certificate programs.
• set to lose access to this program.

Summary: The committee began with a work session on dual credit, hearing first from the Council of Presidents and the State Board for Community and Technical Colleges, then from the Education Research and Data Center. The dual credit overview described Washington’s six dual credit programs, high participation rates, transferability, and recent efforts to improve transparency, pathways, and equity. Testimony emphasized both benefits and challenges, including access, funding, advising, and the need for clearer statewide coordination. ERDC outlined its annual report, dashboard, research briefs, and future work on school-level factors and possible causal effects of dual credit participation. No votes were taken during the work session. The committee then held public hearings on several bills. SB 6227 would direct WSAC to work with public higher education institutions to create formal data collection protocols for parenting students and convene a work group to recommend how to identify and support them. Senator Wilson and multiple student and advocacy witnesses supported the bill, citing the lack of consistent statewide data and the barriers parenting students face; WSAC testified that its research found significant food, housing, and child care insecurity among these students. SB 6235 would prohibit public colleges with athletics programs from entering certain private equity or sovereign wealth fund agreements involving athletics revenues or control. Senator Holy said the bill was intended to prevent loss of institutional control, while UW and WSU testified in opposition, warning it could limit flexibility and create competitive disadvantages. The committee also heard SB 6217, which would expand Washington College Grant eligibility to students in eligible non-degree credential programs beginning in 2027-28. Supporters from the community and technical college system, a community college president, and workforce representatives said the bill would help students access short-term training for family-wage jobs and address workforce shortages, especially in construction trades. Finally, SB 6209 would restore Washington College Grant and College Bound Scholarship eligibility for certain private four-year and career/vocational schools if they meet a gainful-employment standard. DigiPen, Evergreen Beauty College, Seattle Film Institute, and related students and administrators testified in support, arguing the bill would preserve access for low-income and nontraditional students in career-focused programs; some witnesses on the bill’s earlier panel also urged that certificate and two-year programs be included. The hearings were managed with shortened testimony times because of the large number of sign-ins, and no final committee action or votes were recorded in the transcript.

Transcript Highlights:

• Community custody and RAC programs.
• The programs that work, the programs that have worked for a decade should be implemented across the state
• A lot of programs aren't doing this.
• Appropriate for this program, and those sentenced to YDDC would also not be accepted into this program
• We want investments in treatment and diversion programs. like the Gun Violence Intervention Program,

Transcript Highlights:

• I think the paint stewardship program and other EPR programs that you all have helped champion over the
• I started the program here. We're about to celebrate our fifth anniversary of the program in April.
• So a program like this, although that state funding is very important for our budget, gives programs
• Also, because these new products will be assessed an external fee to pay for the program, ...program
• So a program like this, although that state funding is very important for our budget, gives programs

Bills: HB2515, HB2343, HB2301, HB2272, HB2367

Keywords: energy facilities, large energy use, regulation, state oversight, infrastructure, water quality, game farms, public health, environmental protection, regulatory oversight, extended producer responsibility, paint waste management, environmental regulations, sustainability, recycling, ski areas, winter sports, terminology update, recreation, regulatory changes

Transcript Highlights:

• It was a pilot program. It provides greater flexibility in terms of... It was a pilot program.
• And so will, in the future, will there be funds available for this type of program, jury pilot program
• Two other proposals were reduced in scope: the air cooling pilot program, which is the pilot program
• Two other proposals were reduced in scope: the air cooling pilot program, which is the pilot program
• Your investment in this program is an investment in real lasting Grant program.

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• is what we're projecting, and saving on the rebate program in pharmacy. ...on the rebate program in
• I'm not sure exactly when these programs began and when funding began for these programs, but it's been
• I’m not sure exactly when these programs began and when funding began for these programs, but it’s been
• to know which programs are more effective. ...as it invests more money in these programs to know which
• programs are more effective.

Keywords: 987, senate, all

Transcript Highlights:

• creation of the program, 571.
• and blue envelope program; provide relative to the purpose of the program, 590.
• House Bill by Representative Bryant: program for inmates; establishment of a programming pilot program
• House Bill by Representative Geymann, Wildlife Rehabilitation Program; provide relative to program to
• House Bill by Representative Dickerson, State Medical Assistance Program; utilization program process

Keywords: 965, house, all

Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and then received and processed multiple resignation notices and special-election proclamations for vacant seats. The chamber later recognized and swore in newly elected members Doyle Boudreaux, Reese Broussard, Chassity Verrett-Martinez, and Edwin Murray after no objections were raised to their qualifications. The House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session, and it adopted the proposed standing committee meeting schedule and referred prefiled bills to committee without objection. The bulk of the meeting was devoted to the introduction and reading of a very large number of House bills and resolutions across many subject areas. Measures included the annual appropriations bill, a proposed constitutional convention, carbon dioxide sequestration and pipeline permitting, retirement-system changes, criminal justice and public safety proposals, education and workforce measures, local government and district creation bills, insurance and liability reforms, and numerous commemorative resolutions. Several prefiled bills were withdrawn, and many introduced measures were assigned to committees or allowed to lie over under the rules. The House then entered a joint session with the Senate for the governor’s address. Governor Jeff Landry outlined his administration’s priorities and praised recent legislative actions on taxes, insurance reform, transportation, education, and fiscal discipline. He urged support for Amendment 3 on teacher pay and retirement, called for further workforce and health initiatives, defended insurance and transportation reforms, and pressed for judicial reform, especially in Orleans Parish, citing the death of Jacob Carter and failures in electronic monitoring as examples. He also promoted replacing the vehicle inspection sticker with a QR code system and highlighted economic growth, lower taxes, and infrastructure investments. The joint session also included a presentation of the colors by the Louisiana National Guard and a Distinguished Flying Cross ceremony for Technical Sergeant Adam W. Brister, recognizing his 2018 rescue mission in Alaska. After the governor’s remarks and the military honor presentation, the joint session concluded and the House resumed introducing additional bills, continuing to file measures on topics such as health care, education, ethics, elections, local districts, and constitutional amendments.

Transcript Highlights:

• , talking about the program design, looking at some of the funding and finance aspects of the program
• </c><00:02:08.160><c> talking</c> overview uh intro to the program talking overview uh intro to the program
• </c><00:04:00.799><c> it</c> so there at the set of the program it so there at the set of the program
• </c> movement at the time that the programers movement at the time that the programers created<00:04:
• can be selected within the program.

Keywords: 1183, house

Transcript Highlights:

• </c><00:08:04.639><c> One</c> implement this program. One implement this program.
• </c> to attract candidates to the program. to attract candidates to the program.
• </c> director to conduct a program review. director to conduct a program review.
• </c> as as uh completers of this program. as as uh completers of this program.
• </c> apprenticeship program, workstations. apprenticeship program, workstations.

Keywords: 958, all

Summary: The subcommittee met without a quorum and did not approve minutes, but heard testimony on budget line items for Data Seam and Teach for America. Andrew McNeel of Kentucky Free and representatives from the Commonwealth Policy Center argued that both programs rely heavily on recurring taxpayer support and should be re-evaluated. McNeel cited a 2020 Office of Policy and Audit examination of Data Seam, saying the program had received more than $30 million in state support since 2006, including $3.5 million in the current budget, and that the audit raised concerns about administrative overhead, alleged threats to districts, and the use of line-item language to justify sole-source contracting. He recommended suspending Data Seam funding this biennium, directing a new special audit, and requiring reimbursement of audit costs. The witnesses also urged the committee to withhold funding for Teach for America, saying the organization’s materials and history showed a commitment to diversity, equity, and inclusion that they opposed. They pointed to past statements, leadership titles, and program language as evidence that DEI concepts remained embedded in the organization, and suggested any funding should be redirected directly to school districts instead. Mike Harmon and Richard Nelson echoed those concerns, while also saying long-running programs should be periodically reviewed for efficiency. Teach for America Appalachia representatives then testified in support of the program. Executive director C.D. Morton described the organization as a teacher-preparation and leadership-development program serving rural eastern Kentucky, saying it had recruited and supported more than 325 teachers since 2011, with about 30 current core members in several counties and roughly 2,800 students impacted daily. He said the program helps fill hard-to-staff vacancies, that about 80% of teachers stay for a third year, and that many alumni remain in education. In response to questions from Representative Bojanowski about retention and cost, Morton said more than 60% of alumni are still in education, but he could not give a precise classroom-teacher retention number beyond the program’s broader alumni data.

Transcript Highlights:

• Um, you should grant program report.
• </c><00:47:53.760><c> Um,</c> programs in other spaces. Um, programs in other spaces.
• . program. program.
• </c> the grant program. the grant program.
• </c> programs are um being executed properly. programs are um being executed properly.

Keywords: 1183, house

Transcript Highlights:

• Our program is the #ICan in the Trend program at the University of Kentucky.
• They have to be in that program.
• </c> shows when students work in this program shows when students work in this program for<00:25:38.840
• </c><00:32:02.519><c> didn't</c> agreed that if the program didn't agreed that if the program didn't
• </c> and the care with which the kyva program and the care with which the kyva program is<00:32:17.360

Keywords: 958, all

Summary: The Senate Education Committee met with a quorum and heard first from the Washway Nicotine Youth Advocacy Group, which urged stronger enforcement of Kentucky’s Tobacco 21 law. Youth advocates described the harms of flavored vaping products, argued that nicotine use is targeting children, and called for retailer licensing, annual compliance checks, harsher penalties for illegal sales, and more funding for enforcement. Committee members praised the presentation, and one senator said he had heard a bill on licensed retailers may be coming soon. The committee then heard a lengthy presentation from Cloverport Independent School District and the Kentucky Virtual Academy about the state’s virtual school model. Superintendent Keith Haynes and principals Brandy Fagan and Sally Johnson said KYVA serves about 2,800 students, many of whom are at-risk or have health, safety, behavioral, or family reasons for choosing virtual education. They emphasized that the program uses live synchronous instruction, provides devices and materials, and offers special education and related services. They also said the school had a large wait list and that virtual programs need more flexibility in staffing ratios, scheduling, and testing windows. School leaders acknowledged criticism of KYVA’s proficiency scores and said many students entered far below grade level, with 59% not proficient in English language arts and 79% not proficient in math on recent state testing. They argued the program is too new to judge solely on one year of data and pointed to growth in MAP scores, as well as middle and high school rankings in the top half of Kentucky schools. Fagan and Johnson outlined improvement efforts, including daily interventions, small-group instruction, literacy programs, staff training, and expanded clubs and student activities. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• This is a program that was defunded a number of years ago.
• It was paid through the workers' comp assessment program.
• We have also worked on the CHIP program for the blue stamp theft program and joined the Governor in her
• Which programs they are committed to funding.
• to ensuring that we have funding for those programs.

Keywords: 993, senate, all

Summary: The Human Services and Labor budget hearing opened with Senate and Assembly co-chairs introducing members and naming secretaries for the record. The agencies covered included Human Services, Labor, Temporary and Disability Assistance, Children and Family Services, Veterans Services, Human Rights, Workers’ Compensation, the Welfare Inspector General, and the Public Employment Relations Board. Members then gave brief statements on their priorities for the upcoming budget negotiations. A major theme was affordability, with repeated discussion of child care, SNAP, housing, and worker supports. Senators and Assembly members highlighted the Senate and Assembly one-house proposals for a $500 million child care worker retention grant program, additional child care slots and subsidies, cost-of-living adjustments for human services workers, and expanded support for supportive housing, youth employment, HEAP, and energy affordability. Several members also emphasized food insecurity and SNAP-related issues, including funding to address payment errors, prevent penalties, expand SNAP education, and respond to expected federal changes. Labor-related issues included workers’ compensation fraud, wage theft enforcement, workplace violence, temporary disability insurance reform, and the creation of dedicated enforcement funding for the Department of Labor. Some members supported using workers’ compensation assessments or insurance-company-related funding to pay for anti-fraud efforts, while others preferred grants to district attorneys or broader DOL enforcement. There was also discussion of occupational health clinics, labor standards in any SEQRA changes, and expanding access to doctors in the workers’ compensation system. Veterans, child care, and public assistance fraud prevention were also discussed, including funding for veterans legal defense and mental health services, microchip/secure EBT cards to reduce skimming, and restoring or protecting various programs. No formal votes were taken; the hearing concluded with the chairs stating that the Senate, Assembly, and Executive would continue negotiations toward a final budget.

Transcript Highlights:

• </c> that we do operationalize the program that we do operationalize the program um,<00:03:03.200><c>
• , not only for these state-run auto IRAs, but also in 401(k) programs and all retirement savings programs
• ><c> programs.
• And as the expenses of operating the program are much less and, again, a more efficient program than
• As the expenses of operating the program are much less and, again, a more efficient program than as the

Keywords: 912, senate, all

Summary: The Labor and Technology Committee met on April 4, 2025, to consider four governor’s messages involving nominations to the Hawaii Retirement Savings Board and the Hawaii Workforce Development Council. Barbara Creek, nominated to the Retirement Savings Board for a term ending June 30, 2029, testified that she had already served two years on the board, had prior experience with deferred compensation plans, and wanted to help operationalize the program quickly and efficiently. In response to a question about Senate Bill 855, she explained that an opt-out auto-enrollment model is the gold standard for retirement savings programs, would increase participation and contributions, and would help Hawaii avoid being an outlier and improve the chances of joining a multi-state compact for a cost-effective program. Amber Aana, nominated to the Workforce Development Council for a term ending June 30, 2029, emphasized her maritime-industry background and commitment to diversity, inclusion, and training opportunities for women and underrepresented groups. Scott Collins, nominated to the same council for a term ending June 30, 2028, said he had served on the board since 2022 and could contribute public-sector and union experience to help address government workforce challenges. Pane Mayonga II, also nominated to the Workforce Development Council for a term ending June 30, 2029, was absent due to union travel, but the committee heard extensive testimony in support from labor, industry, and community representatives. Support testimony was recorded for all four nominees, including from the Department of Labor and Industrial Relations, United Public Workers, Hawaii State AFL-CIO, Hawaii Nurses Association, Hawaii Ports Maritime Council, and other organizations and individuals. For Pane Mayonga II, the committee noted support from a broad coalition including labor unions, maritime and construction groups, and community advocates. No opposition testimony was presented, and members did not raise substantive questions on the Workforce Development Council nominees. After a brief recess, the committee reconvened for decision-making and voted to recommend advice and consent on all four governor’s messages: GM 727 for Barbara Creek, GM 744 for Amber Aana, GM 717 for Scott Collins, and GM 728 for Pane Mayonga II. Each recommendation was adopted unanimously, and the committee congratulated the nominees before adjourning with no further business.

Transcript Highlights:

• and over 14,000 in graduate programs and over 14,000 in graduate level<00:01:39.240><c> programs</c>
• </c><00:08:20.759><c> of</c> students we offer over 70 programs of students we offer over 70 programs
• ><00:08:44.959><c> early</c> the college uh our other programs early the college uh our other programs
• ><00:08:47.240><c> Arts</c><00:08:47.800><c> uh</c> programs included education Lial Arts uh programs
• </c> that program fund a a range of programs that program fund a a range of programs both<00:51:33.520

Keywords: 1183, house

Transcript Highlights:

• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• This is to partner with the social work program to implement the WIC Baby and Me parenting program in
• It amends an existing program for administration of the Autism Waiver Program.

Keywords: 1204, all

Transcript Highlights:

• This includes recognition that programs Program funding fulfills legal obligations, protection of funding
• , whether it's the school lunch programs. school breakfast programs, summer food services, the child
• and adult care food program.
• , for the kids to come to an after-school program. or a summer school program where they actually get
• Those are your programs. Those are programs that impact you.

Keywords: tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services

Summary: The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.

Transcript Highlights:

• program.
• We do have programs that do both. And so typically what you see there is it'll be an ABC program.
• That is the biggest difference between the programs: on staffing for the ABC program, there has to be
• I feel like we have shifted from federal program to state program and vice versa what makes sense.
• I feel like we have shifted from federal program to state program and vice versa what makes sense.

Summary: The Early Childhood Committee met to receive an update from the Office of Early Childhood on Arkansas child care and early learning programs. Committee members discussed the state’s child care crisis, including reported economic losses from lack of access, the need to track access, affordability, workforce shortages, rural and infant/toddler care gaps, and the role of local leads in identifying needs across the state. The committee also approved the February 17 minutes. Office of Early Childhood staff explained their responsibilities under the LEARNS Act, including kindergarten readiness, provider quality, and access to affordable seats. They reviewed licensing, quality efforts, and the two main funding streams: School Readiness Assistance (SRA), a federally funded voucher program serving about 14,600 children with a wait list of more than 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 23,000 children, with approval to increase to 24,000 slots. Members asked about the difference between market rate surveys and cost analyses, and staff said the office is procuring both, with results expected by the end of the year. Several members raised concerns about funding levels, especially that ABC reimbursement has not kept pace with K-12 funding increases and that child care reimbursement remains below the true cost of care. Staff said ABC requires certified teachers and lower ratios than SRA, but pays less, and that some federal pre-K slots were moved into ABC to preserve continuity of care. They also explained that SRA eligibility changes, including a higher work requirement and ending a child care worker eligibility category, were made to reduce spending and serve families on the wait list. The committee discussed communication with providers and parents, technical assistance for centers, and possible future legislative action to stabilize providers and expand access, but no votes or formal actions were taken beyond approving the minutes and adjournment.

Transcript Highlights:

• We believe this bill treats private programs differently than public programs and working.
• For example, Senator Harrell mentioned program directors and the discipline of program directors.
• We represent a very, very large program, nurses, programs all around the country.
• We represent a very large program, nurses, programs all around the country.
• , all nursing programs.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.