Bills: SB1998, SB646, SB2786, SB2076, SB2615, SB1961, SB1418, SB2647, SB1322, SB2788

Keywords: pediatrics, medical education, subsidiary, preceptorship, medical training, student programs, mental health, loan repayment, education funding, mental health professionals, healthcare access, Texas Success Initiative, exemption, public officers, employees, higher education, Capitol view, Austin, urban planning, construction

Transcript Highlights:

• Well, Texas faces a growing shortage of pediatric subspecialists, creating challenges.
• Lauren Gamble, and I'm a pediatric hospitalist here in Austin.
• subspecialists, and medical student members of the Texas Pediatric Society.
• Pediatric subspecialists such as pediatric cardiology, oncology, ophthalmology, and neurology require
• My preceptor inspired me to pursue a career in pediatrics, and I believe that this pediatric subspecialty

Bills: SB1998, SB646, SB2786, SB2076, SB2615, SB1961, SB1418, SB2647, SB1322, SB2788

Keywords: pediatrics, medical education, subsidiary, preceptorship, medical training, student programs, mental health, loan repayment, education funding, mental health professionals, healthcare access, Texas Success Initiative, exemption, public officers, employees, higher education, Capitol view, Austin, urban planning, construction

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• American Academy of Pediatrics. American Academy of Pediatrics.
• And yet this has been the narrative of the American Academy of Pediatrics.
• Um so as American Academy of Pediatrics.
• <01:12:21.640> has American Academy of Pediatrics has American Academy of Pediatrics has recently
• <01:15:20.200> association but if the the pediatric association but if the the pediatric association

Bills: HB2323, HB2324, HB1509, HB2164, HB2165, HB2367, HB2619, HB1765, HB2187, HB1864, HB1452, HB2314, HB1898, HB2558, HB2319, HB1643, HB2121

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Creating a pediatric palliative care benefit would serve as a bridge.
• I am the only pediatric hospice nurse up there in the whole state.
• We need pediatric palliative care... ...in our Native American population.
• We need pediatric palliative care... To the pediatric intensive care unit.
• So that is what we believe building a pediatric palliative care will create.

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• 27:22.720> and pediatric teaching hospital and pediatric teaching hospital and establish<00:27
• <00:27:27.279> teaching hospitals that are pediatric teaching hospitals that are pediatric
• Chair, if I may follow. care in Kentucky, about pediatric care care in Kentucky, about pediatric care
• pediatric psychiatric beds. Is that is pediatric psychiatric beds.
• Is that a pediatric bed? I >> 17 and under? Is that a pediatric bed?

Keywords: :54 – Board of Pharmacy 2:00 – Board of Social Work 3:44 – Board of Licensure for Occupational Therapy 4:43 – Board of Registration for Professional Geologists 7:27 – Board of Imaging and Radiation Therapy 8:33 – Board of Emergency Medical Services 10:38 – Department of Fish & Wildlife Resources 17:37 – Transportation Cabinet 18:37 – Department of Education 25:00 – Department of Workplace Standards 27:06 – Cabinet for Health & Family Services, 958, all

Summary: The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue. The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes. The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.

Transcript Highlights:

• and Pediatric founder of Associates and Pediatric Therapy.<00:25:04.960> Real<00:25:05.200>
• 60 to 70% of our pediat pediatric 60 to 70% of our pediat pediatric population<00:27:12.080>
• pediatric therapy services. pediatric therapy services.
• So, she did pediatric therapy.
• of the pediatric population in general? of the pediatric population in general?

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• Lauren Gamble, and I'm a pediatric hospitalist here in Austin.
• is crucial for addressing the current shortage of pediatric subspecialists in our state.
• Pediatric subspecialties such as pediatric cardiology, oncology, ophthalmology, and neurology require
• Pediatric subspecialties, such as pediatric cardiology, oncology, ophthalmology, and neurology, require
• My preceptor inspired me to go into pediatric medicine.

Summary: The Senate Committee on Education K-16 heard several bills and took no final votes, leaving each measure pending. The first major item, SB 1322 by Senator Hagenbuch, would create a Texas Higher Education Accrediting Commission to evaluate and approve accrediting agencies for public colleges and universities using outcome-based metrics such as retention, graduation, employment, debt, and repayment. Supporters, including Kate Byerley of the Texas Public Policy Foundation, argued the bill would add competition and align accreditation with Texas workforce needs; Senator Menendez questioned the need for a new bureaucracy and noted the $3.6 million fiscal note, suggesting existing reporting and oversight structures could serve the same purpose. The committee then heard SB 1998, which would establish a pediatric subspecialty preceptorship program to encourage medical students to enter pediatric subspecialties. Dr. Lauren Gamble testified in strong support, saying the program would help address shortages and improve access for children, especially in rural and underserved areas. SB 2788, authored by Senator Menendez, would add the PSAT as an accepted assessment for dual credit and Texas Success Initiative purposes; Priscilla Camacho of Alamo Colleges supported the bill, citing strong student outcomes and widespread use of the PSAT as a readiness indicator. Senator Creighton laid out SB 2076, which would remove or modify certain Capitol view corridor restrictions affecting the UT Austin Academic Medical Center project, including the planned specialty hospital and MD Anderson Cancer Center expansion. He said the existing corridors are outdated and limit development. The committee also heard SB 1418, a cleanup bill replacing outdated references to ACT Plan with Pre-ACT and removing obsolete SAT subject test language. After brief testimony and no opposition on the later bills, the committee closed public testimony and left SB 1322, SB 1998, SB 2788, SB 2076, and SB 1418 pending before recessing for the floor session.

Transcript Highlights:

• nursing experience with pediatric nursing experience with pediatric experience<02:02:17.960>
• <02:02:27.800> nurses pediatric nurses or not pediatric nurses pediatric nurses or not pediatric
• :00.800> years I taught pediatric nursing for 25 years I taught pediatric nursing for 25 years
• experience do they have in Pediatrics experience do they have in Pediatrics how<02:17:08.319>
• you have to find your pediatric you have to find your pediatric experience<02:17:31.880> in

Keywords: 1191, senate, all

Transcript Highlights:

• So the bill is designed with the reality of families facing rare pediatric diseases at the center, and
• Rare pediatric diseases in general, but focused...
• Rare pediatric diseases in general, but focusing on rare pediatric cancer that can be treated with the
• pediatric neurologic problems.
• And so while we've been fortunate not to have pediatric cancer, if I can break code...

Keywords: 959, house, all

Transcript Highlights:

• Only 14% of U.S. emergency departments are certified as pediatric-ready or specialize in children.
• The bill addresses this lack of pediatric readiness in our emergency departments by doing five things
• Fourth, it requires all emergency departments to conduct the National Pediatric Readiness Assessment,
• and supplies, and adding pediatric components to the hospital's comprehensive department.
• So there's two different components to the pediatric readiness.

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• This bill addresses the lack of pediatric readiness in our hospital emergency departments.
• HB 1119 addresses this lack of pediatric readiness in our emergency department by doing five things.
• weights in kilograms, calculating medication dosages, and using pediatric instruments.
• I'm surprised at the lack of pediatric preparedness at hospitals.
• Most physicians and nurses have training in pediatrics.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• Senate 1507, an act regarding the pediatric palliative care program.
• I am the Bay State Pediatric Palliative Care Program Manager.
• The pediatric palliative care services and program understand our needs.
• Pediatric palliative care was an important part of my life.
• I'm a pediatrics resident at Boston Children's and Boston Medical Center.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• 32.960> Cancer The the Kentucky Pediatric Cancer The the Kentucky Pediatric Cancer Research<00
• So we assembled a group of experts, including pediatric psychologists and pediatric oncologists, to develop
• This study also supports a pediatric This study also supports a pediatric tumor<01:02:55.680>
• <01:04:16.079> Um pediatric pain management. Um pediatric pain management.
• <01:04:26.319> cancer that is tailored to pediatric cancer that is tailored to pediatric cancer

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• Academy of Pediatrics National Guidelines recommend swimming lessons for children ages 1 through 4.
• Readiness Assessment created by the National Pediatric Readiness Project and requires AHCA to publish
• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care...
• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care in our emergency
• , and adding pediatric components to the hospital's comprehensive emergency plan.

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 so we have House Memorial 35, pediatric palliative, and...
• While hospice care exists in our state, pediatric access is extremely limited.
• Creating a pediatric palliative care benefit would serve as a... benefit.
• And I am currently the only hospice nurse providing pediatric...
• Their estimate is 881 children that would be eligible for pediatric palliative care.

Keywords: 996, all