Transcript Highlights:

• And that new language gives DHS the explicit authority to disenroll Medicaid providers if they haven't
• authority to disenroll Medicaid authority to disenroll Medicaid providers<00:23:02.880> if<00:

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• And the monthly premium requirement and disenrollment for failure to pay has... As a pilot.
• Families are temporarily disenrolled if they do not pay the premiums.
• Are there any administrative costs to a program for disenrolling children?
• Are there any administrative costs to a program for disenrolling children? You recognize.
• What impact would expanding Medicaid in Florida have on these disenrolled children, if any?

Summary: The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare. AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation. Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.

Transcript Highlights:

• closed meaning they will be disenrolled. closed meaning they will be disenrolled.
• Um CRS I that are being disenrolled.
• facilities that have been disenrolled. facilities that have been disenrolled.
• <01:15:19.840> had disenrolling people that likely had disenrolling people that likely had
• And so they only knew that they were supposed to apply when they were disenrolled.

Keywords: 1187, senate, all

Transcript Highlights:

• People have been using the word disenrollment right there, disenrolled from they want to be disenrolled
• inadvertent disenrollment. inadvertent disenrollment.
• the disenrollment the disenrollment is<00:17:40.679> also<00:17:41.480> inadvertent.
• the disenrollment the disenrollment was<00:17:51.320> not<00:17:51.960> inadvertent.
• > the disenrolled from the disenrolled from the uh<00:18:24.280> aggregator.

Keywords: 1191, senate, all

Transcript Highlights:

• It's always been there, and it has been an essential core component of the program and of disenrollment
• In those FAQs, they first introduced this concept or interpretation that you can no longer disenroll
• It's really around the concept of disenrollment for disenrolling a member for failing to pay a premium
• Are you asking how many have been disenrolled for failure to pay premium under the current program, or
• I don't have the numbers on the amount of kids who are disenrolled for nonpayment of premiums, but I

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• It's always been there and has been an essential core component of the program, including disenrollment
• It is a core component of the program and of disenrollment for failure to pay premiums.
• It's really around the concept of disenrollment for disenrolling a member for failing to pay a premium
• Are you asking how many have been disenrolled for failure to pay premium under the current program, or
• I don't have the numbers on the amount of kids who are disenrolled for nonpayment of premiums, but I

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• During the public health emergency, we were not allowed to disenroll individuals unless they moved out
• of the state, they passed away, or they requested to be disenrolled.
• <00:27:14.799> if just disenroll someone immediately if just disenroll someone immediately
• <00:56:44.319> So,<00:56:44.640> how days they can be disenrolled.
• So, how days they can be disenrolled.

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:

• IT HAS ALWAYS BEEN AND HAS BEEN ESSENTIAL CORE COMPONENT OF THE AS WELL AS DISENROLLMENT OF THE PROGRAM
• THIS WAS ABOUT NOT BEING ABLE TO DISENROLL MEMBERS FOR NOT BEING ABLE TO PAY PREMIUMS OF THE CHIP PROGRAM
• AND THAT DISENROLLMENT FOR FAILURE TO PAY PREMIUMS IS SEPARATE FROM AND ELIGIBILITY DETERMINATION.
• THAT IS RELATED TO THIS IN THE IMPLEMENTATION DELAY WHICH IS AROUND THE CONCEPT OF DISENROLLMENT FOR
• >> ARE YOU ASKING HOW MANY HAVE BEEN DISENROLLED UNDER FAILURE TO PAY PREMIUM UNDER THE CURRENT PROGRAM

Keywords: 999, senate, all

Transcript Highlights:

• And they're just like, oh, you're disenrolled from this.
• Or you said we couldn't disenroll, but we had an increase? Increase in enrollment.
• We could not disenroll.
• because they had health insurance versus how many were procedural disenrollments.
• If we didn't require them, what in the paperwork would make them disenroll if they were working?

Transcript Highlights:

• After the 30-day notice period, the department shall disenroll any applicable individual who does not
• After the 30-day notice period, the department shall disenroll any applicable individual who does not
• After the 30-day notice period, the department shall disenroll any applicable individual who does not
• After the 30-day notice period, the department shall disenroll any applicable individual who does not
• <00:52:22.960> any department shall disenroll any department shall disenroll any applicable

Keywords: 1189, house, all

Transcript Highlights:

• was developed by the... contractor without user testing, and secondly, the fact that provider disenrollment
• only emailed, often ending up in spam folders, so that providers do not know that they have been disenrolled
• This legislation also requires both written and electronic notification of provider disenrollment no
• less than 30 days before disenrollment.
• In the example I described earlier, we were receiving the disenrollment notifications but had no way

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• At some point, is the department going to disenroll people after they've gone through the entire appeal
• And how many people does the department expect will eventually be disenrolled, both adults and children
• make sure that we have compassion policies if someone's in cancer treatment, that we wouldn't just disenroll
• So we need to develop those aspects. department going to disenroll people department going to disenroll
• make sure that we have compassion policies if someone's in cancer treatment, that we wouldn't just disenroll

Keywords: 1191, senate, all

Transcript Highlights:

• And by the time some of those counties access that funding, it is either too late or they have to disenroll
• that those school readiness programs have access to the funding earlier on in order for them not to disenroll
• And by the time some of those counties access that funding, it is either too late or they have to disenroll
• ensure that those school redness have access to the funding earlier on in order for them not to disenroll
• because earlier on in order for them not to disenroll the children because once you go to disenrollment

Summary: The subcommittee first heard an overview from Department of Education Chancellor Paul Burns on Florida’s K-12 governance structure and major divisions, including early learning, public schools, safe schools, school choice, and accountability. He highlighted school readiness and VPK, teacher preparation and licensure, school safety functions, scholarship and virtual/home education programs, and FAST progress monitoring. Burns also cited statewide gains such as higher mid-year reading performance, a record graduation rate of 89.7%, and record CTE enrollment, while members questioned the meaning of Florida’s “number one” education rankings, teacher pay, post-COVID learning loss, vacancies, and chronic absenteeism. St. Lucie County Superintendent John Prince then described the scale and responsibilities of a mid-sized district, emphasizing student safety, transportation, meals, hurricane shelter operations, career and technical education, teacher recruitment and retention, progress monitoring, remediation, and mental health supports. Members asked about school shelter construction standards, remediation funding, late school start times, attendance, and concordance scores; Prince argued for more flexibility for CTE pathways and noted that local districts use a mix of state and federal funds to support remediation and staffing. The committee then moved to an early warning systems panel. Burns explained that Florida law requires districts to use attendance, behavior/suspensions, course performance, FAST results, and other academic indicators to identify students needing support, with districts and families developing intervention plans. Superintendents from Putnam, St. Johns, and St. Lucie counties said chronic absenteeism is tied to achievement and NAEP decline, but causes vary by district, including poverty, transportation, daycare, family instability, travel, and student athletics. They described MTSS, PBIS, home visits, attendance letters, and community partnerships as responses. Members also discussed VPK access, full-day VPK funding, excused versus unexcused absences, and the need for earlier intervention in pre-K and K-2. Finally, Vice Chancellor Darren Norris outlined Florida’s post-Parkland school safety measures, including armed school officers, anonymous reporting, behavioral threat assessment teams, mental health training, panic alert systems, emergency drills, active assailant response policies, and firearm detection canines. Superintendents said compliance is costly and often requires shifting local funds, but they praised state grants for mental health, hardening, and mapping. They noted ongoing challenges with new mandates, capital costs, manual reporting burdens, and the need to balance safety requirements with classroom resources.

Transcript Highlights:

• But there's no additional money for the Medicaid disenrollment.
• only really when we... when we did the informational briefing, less than half of the potential disenrolled
• money for the Medicaid disenrollment. money for the Medicaid disenrollment.
• of informational briefing less than half of the<00:36:02.320> potential<00:36:03.400> disenrolled
• the potential disenrolled the potential disenrolled potentially<00:36:05.880> uninsured.

Bills: HB1730, HB1985, HB1749, HB1921

Keywords: cesspool, wastewater systems, public health, environmental protection, affordable upgrades, coral reefs, water quality, Hawaii legislation, cesspools, wastewater, environment, pollution, Hawaii, sustainable development, sewerage system, real estate, disclosure, environmental impact, wastewater management, housing

Summary: The committee heard testimony on several cesspool-related measures. HB 1730 HD2 would create a cesspool conversion implementation working group to help the Department of Health review rules and practices and develop changes to make conversions more affordable. DOH and DLNR stood on written testimony, while environmental and wastewater advocates strongly supported the bill, emphasizing the need for dedicated staffing, technical expertise, and smaller, more focused advisory groups. Members discussed the high cost of upgrades and the need for new technologies that reduce excavation and leach field costs. The bill was passed with amendments, including clarifying the DOH director’s discretion over the size of the working group, and the committee noted DOH’s appropriation request for consideration. HB 1985 HD1 would extend certain cesspool conversion deadlines and authorize funding for consultants, while also advancing outreach and education. Testimony split sharply: advocates supported the education component but opposed deadline extensions as premature, arguing the state still has many years before the 2050 mandate and should not weaken the conversion timeline. The committee agreed to amend the bill to delete the deadline-extension portion, keep technical changes, and note DOH’s position request. HB 1749 HD2 would require sellers to disclose cesspools to buyers before a real estate purchase contract is executed and direct DOH and the Real Estate Commission to create a standardized form. Realtors supported the intent but asked to avoid duplicative statutory form requirements, and advocates stressed that disclosure should be prominent and not buried in paperwork. The committee adopted amendments removing the standardized-form mandate and passed the bill. HB 1921 HD2 would allow certain existing cesspools in priority level three areas to continue serving dwellings with additional bedrooms under conditions. DOH brought the measure, and supporters from the real estate and environmental sectors discussed innovative wastewater technologies, retrofits, and composting toilets as ways to reduce costs while improving treatment. The committee amended the bill to require DOH director-approved wastewater technology using solid waste separation for bedroom-count increases and to clarify priority-level determinations using block-level data from the Hawaii cesspool prioritization tool, then passed it. The committee also heard HB 2310, an emergency appropriation for the Department of Human Services to restore funding used to keep SNAP benefits flowing during the federal shutdown; DHS, public health, children’s advocates, and others supported it, and members questioned why it was not handled through the budget. The discussion clarified that the bill sought new money to move quickly for ACA-related premium support. No final vote on HB 2310 was shown in the excerpt.

Transcript Highlights:

• <02:08:27.280> which<02:08:27.520> means<02:08:27.840> $3 disenrollment.
• Yeah. which means $3 disenrollment. Yeah. which means $3 million.<02:08:29.040> Yes.
• MedQuest is estimating 38,000, not 30,000, of Medicaid enrollees will be disenrolled.
• expiring in addition to the... disenrolled.
• ACA plan enrolles when we disenrolled.

Keywords: 912, senate, all

Summary: The joint informational briefing by the Health and Human Services and Commerce and Consumer Protection committees focused on projected impacts to Hawaii consumers from federal changes affecting Med-QUEST and the ACA marketplace, including the loss of ACA premium tax credits, OBVA/HR1-related Medicaid changes, immigrant eligibility restrictions, and new Medicaid work/community engagement requirements. Committee members noted the meeting was being streamed live and emphasized the need to explain potential coverage losses affecting a significant share of the state population. Med-QUEST administrators reported current enrollment at 390,766, about 27% of Hawaii’s population, and broke that down into major groups including roughly 128,000 ACA expansion adults and about 52,000 parent/caretaker relatives. They said the expansion adult population would be most affected by the new federal requirements, which will shorten renewal periods from 12 months to 6 months and impose community engagement rules beginning in late 2026 and 2027. They described the work requirement as 80 hours per month of work, community service, work program participation, or half-time education, with an income-based pathway tied to $580 per month at the federal minimum wage; they also noted a long list of exemptions, but said many details are still awaiting federal guidance and rulemaking. The administrators said federal changes to immigrant eligibility would eliminate Medicaid coverage for certain noncitizen categories, with an estimated 1,200 to 2,400 people affected, though about 200 may remain covered through a state-funded program for otherwise eligible individuals. They also said marketplace subsidies would no longer be available for some immigrants under 100% of the federal poverty level starting January 1, 2026, with further restrictions expected in 2027. For Hawaii overall, they estimated the new Medicaid work and renewal rules could push an additional 19,000 to 38,000 people into uninsured status, with another estimated 6,000 at risk from the six-month renewal process alone. Members asked about how exemptions would be determined, especially for medically frail and seriously mentally ill individuals, and administrators said they were still awaiting detailed federal rules and were working on data-matching and verification processes to reduce coverage losses.

Transcript Highlights:

• There's also been other challenges with Medicaid, with folks being disenrolled unceremoniously from Medicaid
• And there's also been other challenges with Medicaid, with folks being disenrolled unceremoniously from
• , with Medicaid, with folks being disenrolled unceremoniously from Medicaid.

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• And there's also been other challenges with Medicaid, with folks being disenrolled unceremoniously from
• And there's also been other challenges with Medicaid, with folks being disenrolled unceremoniously from
• , with Medicaid, with folks being disenrolled unceremoniously from Medicaid.

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.