Transcript Highlights:

• You can see that in Chart 6, which visualizes what those potential cost shares will look like.
• That is going to change the cost and risk acuity for our population, so those are... really important

Transcript Highlights:

• entity is in violation of the data-sharing provisions of the bill, remove the definitions of high-acuity
• services, low-acuity services, moderate-acuity services, and perform care, and eliminate the requirement
• that DCF submit to... ...acuity services and perform care, and they would eliminate the requirement

Keywords: 1146, all

Transcript Highlights:

• day: fragmented care, poor coordination, and limited effectiveness for individuals with the highest acuity
• day: fragmented care, poor coordination, and limited effectiveness for individuals with the highest acuity
• day: fragmented care, poor coordination, and limited effectiveness for individuals with the highest acuity
• day: fragmented care, poor coordination, and limited effectiveness for individuals with the highest acuity

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• failures within AHCCCS to verify eligibility, and the data that we found, it was an analysis of 87,829 acuity
• system that has become opaque, unmanageable, and misaligned with the realities of delivering high-acuity
• function as both Medicaid authority and the operational health plan of AIHP. ...especially for high-acuity

Keywords: 1182, all

Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.

Transcript Highlights:

• have different variations of senior care facilities: nursing homes, which have different levels of acuity
• But then you have... ...nursing homes, which have different levels of acuity and other services that
• short-term crisis stabilization and extended three-to-seven-day crisis care for individuals with higher acuity
• crisis stabilization and an extended three-to-seven-day crisis care for individuals with a higher acuity
• and behavior health needs. extended three to seven day crisis care for individuals with a higher acuity

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• This integration is high-acuity work.
• providing a budget that ignores the increase in demand, let alone the massive influx of complex, high-acuity
• Our community crisis response team responds alongside law enforcement and high-acuity incidents.
• Simultaneously, as our Felton 988 services continue to grow, so does crisis acuity.
• 988 LCCS services see approximately a 200% increase in time spent with each contact due to higher acuity

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• 08.239> District Our current methodology takes into account previous cost, resident health acuity
• , resident health acuity, resident health acuity, and<01:20:48.320> the<01:20:48.719> budget
• which has a very high Medicaid Center uh which has a very high Medicaid patient<01:34:33.520> acuity
• c> In<01:34:34.400> other<01:34:34.560> words,<01:34:34.960> the patient acuity
• In other words, the patient acuity.

Keywords: 1189, house, all

Transcript Highlights:

• It takes the technical skill and clinical depth that I've built over years at a high acuity urban center
• It takes the technical skill and clinical depth that I've built over years at a high acuity urban center
• It takes the technical skill and clinical depth that I've built over years at a high acuity urban center
• It gives us the ability to retain the specialized workforce required to deliver high-acuity care, the
• <00:14:14.480> care, deliver high-acuity care, deliver high-acuity care, the<00:14:15.560>

Bills: HF4841, HF4234, HF3697

Keywords: Hennepin County, sales tax, health care facilities, ballpark improvements, tax revenue, HF4234, Minnesota private activity bonds, tax-exempt bonds, bond cap, aggregate bond limitation, residential rental projects, multifamily housing, affordable housing finance, housing bonds, public finance, bond allocation, private activity bond cap, Minnesota Statutes 474A.02, tax committee, tax refund

Transcript Highlights:

• That helps calculate the case mix index, or the acuity factor, that goes into rate setting.
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity
• That helps calculate the case mix index, or the acuity factor, that goes into rate setting.
• That helps calculate the case mix index, or the acuity factor, that goes into rate setting.
• That helps calculate the case mix index, or the acuity factor, that goes into rate setting.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• The people experiencing homelessness who would most benefit from supportive services due to high acuity
• supportive services due to high acuity supportive services due to high acuity needs<00:56:15.920
• Two low-barrier, high-impact shelter models proven to serve individuals with the highest acuity and living
• <01:42:23.840> with<01:42:24.080> the<01:42:24.320> highest<01:42:24.719> acuity
• <01:42:25.679> and individuals with the highest acuity and individuals with the highest acuity

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• patients are getting a daily rate that ranges from about $250 to close to $350 a day depending on acuity
• <00:07:15.280> day<00:07:15.520> depending<00:07:15.840> on<00:07:16.000> acuity
• <00:07:17.120> and<00:07:17.759> um $350 a day depending on acuity and um $350 a day
• depending on acuity and um and<00:07:19.360> that<00:07:19.599> does<00:07:19.759>

Keywords: 928, house, all

Summary: The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples. The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes. The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”

Transcript Highlights:

• You know, there is a level of an increasing level of chronic condition and acuity that's now present
• care of seniors you're reducing their care their services charging them more money, we have higher acuity
• care of seniors you're reducing their care their services charging them more money, we have higher acuity
• <00:52:29.880> higher<00:52:30.200> use<00:52:30.440> of have higher acuity
• higher use of have higher acuity higher use of Medicaid<00:52:31.520> and<00:52:31.680> waivered

Keywords: 1187, senate, all

Transcript Highlights:

• the fact that our MassHealth enrollees are getting older, they're getting sicker, they have higher acuity
• President, I appreciate the acuity being one of the very other important factors in addition to the number
• President, this is a serious matter with regard to the acuity of the Medicaid population, and I hope

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance, adopted two commendatory resolutions honoring the Plimpton Historical Society’s Deborah Sampson Day recognition and Megan’s Light’s Cystic Fibrosis Awareness Month observance, and suspended Joint Rule 12 to refer several House petitions to committee. The chamber also briefly recognized Diane Talk of the South Shore Regional Emergency Communication Center on her retirement after 30 years of dispatch service. Later, the Senate passed two local bills to enactment: House No. 4006, authorizing Dartmouth to grant an additional all-alcoholic beverages license, and House No. 473, relating to the charter of Westwood. The main business was the Senate Ways and Means presentation of the fiscal year 2027 budget, totaling about $63.3 billion. The chair described the budget as balanced, with no new taxes or tax cuts, based on a consensus revenue estimate of $986 million in growth over FY26 (2.4%), and including about $15.8 billion in federal financial participation and roughly $2.7 billion from the Fair Share surtax. The budget emphasized record local aid, including $1.376 billion in unrestricted general government aid, $7.66 billion for Chapter 70 education aid, increased minimum school aid, higher regional school transportation reimbursement, rural aid, and the revival of the Foundation Budget Review Commission. It also highlighted major investments in MassEducate free community college, food security, housing, and support for vulnerable residents. Members then engaged in extended colloquy on the budget’s major cost drivers and policy choices. Questions focused on debt service, pension and OPEB liabilities, MassHealth caseload and rising per-enrollee costs, child care funding, and program integrity in DTA and other benefit programs. The chair said debt service would be about $2.67 billion, pension payments would be $5.1 billion, OPEB would receive a $150 million payment, and MassHealth enrollment was projected at about 2 million with costs driven by acuity and medical inflation. He also said the budget includes no collective bargaining agreements and no state tax changes. Senators supporting the budget praised its investments in education, local aid, homelessness prevention, public health, libraries, and housing, while minority leaders and others stressed the need for fiscal discipline, transparency, and further work on affordability and municipal support. The Senate also received a House message on House No. 5316, which the House had nonconcurred in, and a conference committee was appointed on the disagreement.

Transcript Highlights:

• The second component of this bill is the increased acuity of children coming into the system and a placement
• Unfortunately, there simply aren't enough placements that can adequately serve children with high acuity
• treatment foster care pilot program that will increase family-like placements for children with high acuity

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a series of introductions recognizing FSU Day at the Capitol, Catholic lay leaders, seniors advocates, Broward County school officials, and veterans-related guests. The chamber then moved through its special order calendar, beginning with several Florida Statutes revision bills. SB 36 adopted the 2025 Florida Statutes and prior session law; SB 38 conformed statutory terminology for the Division of Criminal Investigations; SB 40 removed repealed provisions; and SB 42 cleaned up obsolete language, cross-references, and typographical errors. Each passed unanimously or nearly unanimously after brief explanations and no substantive debate. The Senate also passed CS/SB 50 on nature-based coastal resilience, as amended to strengthen the Florida Flood Hub’s role under USF and clarify research and modeling responsibilities; CS/SB 116 on veterans, which expanded veteran awareness and coordination efforts, added mental health training, and authorized adult day health care; SB 118 on presidential libraries, which preempted local regulation to give a future Florida presidential library maximum flexibility; CS/SB 126 on prescription hearing aids, allowing mail distribution for adults after appropriate professional evaluation; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice from being expanded to certain serious cardiac conditions; and SM 314 urging Congress to increase Florida National Guard force structure. Most of these measures passed with strong bipartisan support, though SB 118 drew questions about local zoning, parking, and safety and passed 36-3, with one senator later changing to a no vote over local control concerns. Later, the Senate approved CS/CS/SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property, and CS/SB 348 on ethics, which would penalize false claims of military rank or honors for material gain and require paycheck withholding for delinquent ethics fines owed by public employees. The chamber also passed CS/CS/SB 7012 on child welfare, which included a CPI/case manager recruitment program, a treatment foster care pilot in two judicial circuits, and improved data collection and capacity analysis for commercially sexually exploited children. CS/SB 108 on administrative procedures was adopted after a detailed explanation of rule review, transparency, and rulemaking deadlines, and CS/SB 160 on public accountancy passed after an amendment clarifying contracted services and discussion of CPA licensure pathways. The longest and most celebratory debate centered on CS/SB 110 for rural communities. The bill created an Office of Rural Prosperity, a Renaissance grant program, housing and road funding, school and health care investments, and related rural support measures. Amendments refined transportation priorities in the Everglades agricultural area and clarified the FARM road program. Senators from across the chamber praised the bill as a long-awaited investment in rural Florida, agriculture, broadband, health care, and quality of life. After extensive debate and emotional closing remarks from the sponsor and leadership, the bill passed overwhelmingly.

Transcript Highlights:

• The second component of this bill is the increased acuity of children coming into the system and a placement
• Unfortunately, there simply aren't enough placements that can adequately serve children with high acuity
• treatment foster care pilot program that will increase family-like placements for children with high-acuity

Summary: The Senate opened with prayers, the Pledge of Allegiance, and several introductions recognizing FSU Day at the Capitol, the Red Mass, visiting students, school board members, veterans, and other guests. The chamber then moved to the special order calendar and took up a series of bills, with several measures temporarily postponed before and during the day’s proceedings. Committee and executive reports were largely absent, and the Senate proceeded directly to floor action on the listed bills. The Senate passed a number of mostly unanimous bills, including SB 36, SB 38, SB 40, and SB 42 on Florida Statutes revision; CS/SB 50 on nature-based coastal resilience, amended to strengthen the Florida Flood Hub and related research; CS/SB 116 on veterans, expanding benefits coordination, mental health training, adult day health care, and other veterans services; SB 126 on mailing prescription hearing aids to adults; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice for certain serious cardiac conditions; SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property; SB 348 on ethics, including false military rank claims and collection of delinquent ethics fines; and CS/SB 7012 on child welfare workforce recruitment, treatment foster care pilots, and data collection for commercially sexually exploited children. Senate Memorial 314 urging Congress to increase Florida National Guard force structure was also adopted by voice vote. Two bills drew more extended debate. SB 118 on presidential libraries passed 36-3 after questions about local zoning, traffic, and whether the bill’s express preemption would limit county and municipal authority; supporters argued it would prevent local obstruction and help Florida attract a presidential library, while one senator said she would vote no because of concerns about local safety and planning issues. CS/SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services; supporters said it would broaden pathways into the CPA profession and address workforce shortages. CS/SB 108 on administrative procedures and CS/SB 110 on rural communities were temporarily postponed, then later taken up and passed after extensive debate, with SB 110 amended to prioritize certain rural transportation projects, expand housing, health care, broadband, and economic development support, and draw strong bipartisan praise for its focus on rural Florida. At the end of the session, the Senate waived rules to immediately certify all bills passed that day to the House, observed a moment of silence for former Surfside Chief John Healy, and made several closing announcements and recognitions.

Transcript Highlights:

• The second component of this bill is the increased acuity of children coming into the system and a placement
• Unfortunately, there simply aren't enough placements that can adequately serve children with high acuity
• treatment foster care pilot program that will increase family-like placements for children with high-acuity

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions recognizing visiting groups, including FSU students and officials, Catholic lay leaders, Broward County school officials and students, and veterans-related guests. The chamber then took up a series of bills, with several routine reviser measures passing unanimously: SB 36 adopting the 2025 Florida Statutes, SB 38 changing a division name in the statutes, SB 40 deleting repealed provisions, and SB 42 cleaning up obsolete language and cross-references. SB 50 on nature-based coastal resilience was amended to strengthen the Florida Flood Hub’s role and passed 39-0 after debate about mangroves, oyster reefs, living shorelines, and hybrid green-gray infrastructure. SB 116, a major veterans bill, passed 39-0 after extensive discussion of veteran benefits awareness, mental health training, coordination with federal agencies, adult day health care, and the Florida Veterans Hall of Fame. SB 118 on presidential libraries passed 36-3 after questions and debate over state preemption of local zoning and related regulation, and SB 126 on mailing prescription hearing aids passed 39-0 to expand access for adults after licensed evaluation. The Senate also passed SB 150, as amended, to conform to the House by changing the bill’s wording from “animals” to “dogs” in the natural-disaster abandonment context. SB 294 passed 38-0 to limit collaborative pharmacy practice from being expanded to certain serious cardiac conditions. Senate Memorial 314 was adopted by voice vote, urging Congress to seek a larger Florida National Guard force structure. SB 322 passed 39-0 creating a nonjudicial process for commercial property owners to have unauthorized occupants removed by the sheriff. SB 348 passed 39-0, making it an ethics violation to falsely claim a military rank for material gain and allowing delinquent ethics fines to be withheld from public paychecks. SB 7012 on child welfare passed 39-0 and would recruit former public safety workers into CPI/case manager roles, create a treatment foster care pilot in two judicial circuits, and improve data collection and services for commercially sexually exploited children. Later, the Senate returned to SB 108 on administrative procedures, which passed 39-0 after debate over a five-year review cycle for agency rules, reporting requirements, and greater transparency in rulemaking. SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services and discussion of easing pathways into the CPA profession while maintaining standards. SB 110 on rural communities passed after an amendment package and extensive debate, with provisions described as creating an Office of Rural Prosperity, a Renaissance grant program, housing and road funding, school support, and health care investments for rural areas. At the end of the session, the Senate waived rules to immediately certify all passed bills to the House, observed a moment of silence for former Surfside Chief John Healy, and received additional announcements before adjournment.

Transcript Highlights:

• Factors include medical acuity, accessibility to treatment, and impact on the referring facility.
• Factors include medical acuity, accessibility to treatment, and impact on the referring facility.
• Factors include medical acuity, accessibility to treatment, and impact on the referring facility.
• :19:58.360> of if that person is not at the level of if that person is not at the level of Acuity
• of needing to be housed in the Acuity of needing to be housed in the hospital<01:20:00.840> may

Keywords: 1183, house

Transcript Highlights:

• understood that young people needed to be involved in the arts, whether it's music, whether it's visual
• <03:14:53.279> arts,<03:14:54.000> whether music, whether it's visual arts, whether
• music, whether it's visual arts, whether it's<03:14:54.560> graphic<03:14:54.960> arts,
• And the difference in the acuity, how sick people are, is amazing.
• And the difference in the acuity, how sick people are, is amazing.

Keywords: 958, all

Transcript Highlights:

• A higher level of acuity needs a higher level of expertise, with research-informed methods and professional
• We're just waiting for visual, when we see you as well. Okay, lovely. Thank you.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.

Transcript Highlights:

• And what I mean by that is, you know, data visualization, creating those dashboards in terms of measurement
• when you're reducing staff, you end up sort of sometimes capping beds because you have to keep the acuity

Keywords: 1182, all