2020 Voting Record

Florida Report and Voting Record on Legislative Issues 2020

Introduction

Vision

A society in which all people live with dignity and purpose, and fulfill their goals and dreams.

Floridians 50+ saw some big wins and a few disappointments in the 2020 legislative session. During the 60-day session, lawmakers filed 1,699 bills and passed 191 bills. This Voting Record sets forth summaries of legislative bills most important to Floridians ages 50+ and how legislators voted on them. When the first legislative committee of reference placed on its public hearing agenda a bill significant to AARP’s members and Florida residents 50 years of age and older, AARP notified legislators by email (see p. 87 for an example) that AARP would report the votes on that bill, or any successor bill, through the entire legislative process. AARP provided updates on each bill to its volunteers and stakeholders through the AARP blog and AARP Twitter accounts.

Section I provides a complete list of all Florida legislators and their parties, legislative districts, and county legislative delegations. Section II provides a summary of all the bills AARP Florida selected for the final voting record report. The summaries are set forth by subject matter areas: budget, health and supportive services, consumer protections and livable communities. The summaries identify the pages where readers may review the voting records for each bill. Section III provides appendices that include sample communications to legislators and bills selected for vote recording by date of notice. Except for action by the Governor on these bills, this document is based on information as of April 6, 2020.

Mission AARP enhances the quality of life for all as we age. We champion positive social change and deliver value through advocacy, information, and service.

Special Thanks to AARP Florida’s Advocacy Team:

Andrew Lent – Legislative Advocacy Intern Lynn Smith – Senior Program Assistant

Zayne Smith – Associate State Director of Advocacy Dorene Barker – Associate State Director of Advocacy Laura Cantwell – Associate State Director of Advocacy and Outreach Ivonne Fernández – Associate State Director of Advocacy and Multicultural Outreach Jack McRay – Advocacy Manager Julie Brown - Business Operations Analyst

Florida Moves Closer to Rx Importation Becoming a Reality In 2019, Florida Gov. Ron DeSantis signed legislation authorizing the state to import prescription drugs from Canada and other countries, potentially lowering the cost of lifesaving medicines that millions of people take every day. In August, the Agency for Health Care Administration (AHCA) submitted an implementation concept paper to the U.S. Department of Health and Human Services (HHS) for approval. In December, the Food and Drug Administration (FDA) initiated the rulemaking process by issuing a new rule and guidance to carry out state importation. In March 2020, the Florida Legislature agreed to allocate $10,000,000 recuring annually for the administration of the importation program. Now we must wait on federal authorities to take action.

Jeff Johnson – State Director Donna L. Ginn - State President

www.aarp.org/flvotingrecord2020

Visit www.aarp.org/flvotingrecord2020 to view the electronic version of this 2020 report.

Special Thanks to Our AARP Advocacy Volunteers Volunteers statewide supported AARP Florida’s 2020 legislative agenda. We thank volunteers who met with legislators in their home districts and in Tallahassee, sent letters and emails to legislators, and made countless phone calls to their elected officials. We are grateful to the AARP volunteers who were willing to share their stories and take a stand on critical issues.

Coalition for Silver Solutions

During the 2019 Regular Legislative Session, AARP (representing consumers), Leading Age Florida (not-for-profit NHs and ALFs), SEIU (labor org. for Certified Nursing Assistants (CNA)) and the Florida Health Care Association (for-profit nursing homes) embarked on a novel advocacy endeavor. These organizations convened a “Coalition for Silver Solutions to use their collective political knowledge, influence and resources to bring the LTC issues into the sunshine in Florida and to bring about positive change in Florida’s LTC system. The CSS initiated a two-step process to establish its credibility as a lobbying group with the Legislature, the executive branch agencies and third parties in the LTC service system: 1. For the 2020 Regular Legislative Session, the CSS proposed legislation to eliminate/ minimize procedural obstacles in the LTC system and worked jointly to obtain enhanced funding for the nursing home industry and home-and-community-based LTC programs. 2. It would offer to state decision makers in 2021 a “Blueprint for the Future of Long-Term Care in Florida.” The Blueprint would include recommendations for systemic changes to modernize the LTC system. Beginning In April 2019, the CSS sprang into action: • CSS held a press conference in the Capitol to announce its formation. • Over the summer, CSS held 3 public hearings in which consumers, LTC facility and service providers, insurers, legislators and state agency heads and personnel participated. Three task forces formed to propose legislative issues/solutions for 2020. • In October, the CSS held a Summit in Orlando at which it presented the 2020 legislative proposals for public consideration and comment. Over 200 participants endorsed the proposals (see p., Voting Record). • Sen. Ben Albritton (R-Polk County) and Rep. Jennifer Webb (D-Pinellas County) assumed the role of legislative prime sponsors of the CSS proposals. The result? In its first year of existence, and despite naysayers, the CSS passed its 2020 legislation (mostly intact). To put that in the proper perspective, more than 1,700 bills were filed for the 2020 Regular Legislative Session, and only 191 passed both chambers. The CSS garnered the largest increase in the past 12 years for HCBS funding (4+% increase for Community Care for the Elderly and just under 11% for Alzheimer’s) and a $74 million permanent cost-of-living adjustment in nursing homes’ Medicaid funding (the first in 5 years). The CSS urges all persons/organizations/programs interested in improving Florida's LTC system to join its efforts in preparation for the 2021 “Blueprint for the Future of Long-Term-Care in Florida.” For additional information or for inquiries, please contact: Dorene Barker at dobarker@aarp.org or (850) 577-5163.

On January 27, 2020, AARP Florida hosted the Florida Retired Educators Association (FREA) Legislative Committee Members in Tallahassee. At this event, AARP Florida Advocacy staff and the FREA Legislative Committee shared their 2020 Legislative Priorities. As a result of the meeting, a new legislative policy of FREA will allow the organization to align certain legislative efforts with those of AARP. Florida Retired Educators Association & AARP

TABLE OF CONTENTS

Introduction

Consumer Protection Bills

54 55 55 55 55 56 56 56 56 57 57 57 57 58 76 77 77 77

Senators

SB 994 & HB 709 - Guardianship

House Representatives

SB 344 & HB 211 - Courts

HB 813 & SB 1672 - Protection for Vulnerable Investors SB 400 & HB 253 - Elder Abuse Fatality Review Teams

Bill Summaries and Voting Record Tables

SB 894 & HB 857 - Business Services

Budget Impacts & Bills

21 17 14 15 22 22 22 23 23 23 23 24 24 24 24 25 25 25 25

HB 7025 - Guardianship

HB 5001 - General Appropriations Act

SB 104 & HB 687 - Services for Veterans and Their Families

HB 5003 - Implementing the 2020-2021 General Appropriations Act

SB 126 & HB 159 - Sales and Use Tax

Health & Supportive Services

SB 54 & HB 87 - Tax Exemptions for Diapers and Incontinence Products SB 192 & HB 93 - Tax Exemptions that Assist in Independent Living

HB 1373 & SB 1544 - Long-Term Care SB 1676 & HB 7053 - Direct Care Workers HB 607 - Health Care Practitioners

HB 773 - Medically Essential Electric Utility Service HB 1391 & SB 1870 - Technology Innovation

HB 1189 & SB 1564 - Genetic Information for Insurance Purposes

SB 7052 - Office of Public Counsel

HB 59 & SB 708 - Automated Pharmacy Systems HB 835 & SB 1542 - Alzheimer's Disease HB 767 & SB 402 - Assisted Living Facilities SB 100 & HB 57 - Dispensing Medicinal Drugs HB 1103 & SB 1830 - Electronic Prescribing SB 116 & HB 109 - Prescription Insulin Drugs

Livable Communities

SB 374 & HB 175 - Housing Discrimination HB 969 & SB 1166 - Broadband Internet Service

HB 705 & SB 752 - Emergency Sheltering of Persons with Pets

SB 52 - Medicaid Services

Appendices

HB 833 & SB 916 - Program of All-Inclusive Care for the Elderly (PACE)

Communication to Legislators on Voting Record Report

87 87 88

HB 1143 & SB 926 - Department of Health

Example Bill Notice

HB 1205 & SB 1626 - Price Transparency in Health Care Services

Bills Selected for Vote Recording by Date of Notice

SB 1836 & HB 1279 - Health Insurance Benefits

FLORIDA SENATE

Name

District

Location by County

Name

District

Location by County

Perry, Keith

Alachua, Putnam and part of Marion

Albritton, Ben

DeSoto, Glades, Hardee, Highlands, Okeechobee and parts of Charlotte, Lee, Polk

Pizzo, Jason W. B. Powell, Bobby Rader, Kevin J.

38 30 29 37 19

Part of Miami-Dade Part of Palm Beach

Baxley, Dennis Bean, Aaron

Sumter and parts of Lake, Marion

Nassau and part of Duval

Parts of Broward, Palm Beach

Benacquisto, Lizbeth

27 31 32 11

Part of Lee

Rodriguez, Jose Javier Rouson, Darryl Ervin

Part of Miami-Dade

Berman, Lori Book, Lauren

Part of Palm Beach

Parts of Hillsborough, Pinellas Seminole and part of Volusia

Part of Broward Part of Orange

Simmons, David Simpson, Wilton Stargel, Kelli Stewart, Linda

Bracy, Randolph

10 22 13 40 33 15 14

Citrus, Hernando, and part of Pasco

Bradley, Rob

Baker, Bradford, Clay, Columbia, Dixie, Gilchrist, Lafayette, Levy, Suwannee, Union, and part of Marion

Parts of Lake, Polk Part of Orange Part of Miami-Dade

Taddeo, Annette Thurston, Perry E., Jr. Torres, Victor M., Jr.

Brandes, Jeff

24 35

Part of Pinellas

Part of Broward

Braynon, Oscar II Broxson, Doug

Parts of Broward, Miami-Dade Escambia, Santa Rosa, and part of Okaloosa

Osceola and part of Orange

Wright, Tom A.

Parts of Brevard, Volusia

Cruz, Janet

18 36 34 39

Part of Hillsborough Part of Miami-Dade

Diaz, Manny Jr.

Farmer, Gary M., Jr.

Part of Broward

Flores, Anitere

Monroe and part of Miami-Dade

Gainer, George B.

Bay, Holmes, Jackson, Walton, Washington and part of Okaloosa

Galvano, Bill

Manatee and part of Hillsborough

Gibson, Audrey Gruters, Joe Harrell, Gayle Hooper, Ed Hutson, Travis

Part of Duval

23 25 16

Sarasota and part of Charlotte

Martin, St. Lucie, and part of Palm Beach

Parts of Pasco, Pinellas

Flagler, St. Johns, and part of Volusia Parts of Hillsborough, Pasco, Polk

Lee, Tom

20 17

Mayfield, Debbie

Indian River, part of Brevard

Montford, Bill

Calhoun, Franklin, Gadsden, Gulf, Hamilton, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla

Passidomo, Kathleen

Collier, Hendry, and part of Lee

Florida Senate Chamber

FLORIDA HOUSE

Name

District

Location by County

District

Location by County

Alexander, Ramon Aloupis, Vance Jr. Altman, Thad Andrade, Alex Antone, Bruce Ausley, Loranne

Gadsden, part of Leon Part of Miami-Dade

Eagle, Dane

77 47

Part of Lee

115

Eskamani, Anna Fernandez, Javier

Part of Orange

Part of Brevard

114 119

Part of Miami-Dade Part of Miami-Dade

Parts of Escambia & Santa Rosa

Fernandez-Barquin, Juan

Part of Orange

Fetterhoff, Elizabeth

26 53 16 78

Part of Volusia Part of Brevard Part of Duval Part of Lee

Part of Leon

Fine, Randy Fischer, Jason

Avila, Bryan Bell, Melony Beltran, Mike

111

Part of Miami-Dade

56 57 10 45 74 40

DeSoto, Hardee, part of Polk

Fitzenhagen, Heather

Part of Hillsborough

Geller, Joe

100

Parts of Broward & Miami-Dade Parts of Orange & Seminole

Brannan, Chuck III

Baker, Columbia, Hamilton, Suwannee, part of Alachua

Goff-Marcil, Joy Good, Margaret Gottlieb, Mike

30 72 98 54 64 75 73

Part of Sarasota Part of Broward

Brown, Kamia

Part of Orange Part of Sarasota

Buchanan, James Burton, Colleen

Grall, Erin

Indian River, part of St. Lucie Parts of Hillsborough & Pinellas

Part of Polk

Grant, J.W.

Bush, James III

109

Part of Miami-Dade Nassau, part of Duval Part of Palm Beach Part of Palm Beach

Grant, Michael J. Gregory, Tommy

Charlotte

Byrd, Cord

11 89 90 21 43 18 97 14 13 68 66 80

Parts of Manatee, Sarasota

Caruso, Mike

Grieco, Mike Hage, Brett Hart, Dianne

113

Part of Miami-Dade

Casello, Joseph

33 61 59

Sumter, parts of Lake & Marion

Clemons, Chuck Sr.

Dixie, Gilchrist, part of Alachua

Part of Hillsborough Part of Hillsborough Part of Escambia Part of St. Lucie Part of Hernando Part of Broward Part of Palm Beach

Cortes, John

Part of Osceola

Hattersley, Adam

Cummings, Travis

Part of Clay

Hill, Mike

Daley, Dan

Part of Broward Part of Duval Part of Duval Part of Pinellas Part of Pinellas

Hogan Johnson, Delores

84 35 96 88 99

Daniels, Kimberly Davis, Tracie Diamond, Ben DiCeglie, Nick Donalds, Byron

Ingoglia, Blaise Jacobs, Kristin

Jacquet, Al Jenne, Evan

Part of Broward Part of Broward

Hendry, part of Collier

Jones, Shevrin D. Joseph, Dotie Killebrew, Sam La Rosa, Mike LaMarca, Chip Latvala, Chris

101 108

Drake, Brad

Holmes, Jackson, Walton, Washington, part of Bay

Part of Miami-Dade

41 42 93 67 25

Part of Polk

Driskell, Fentrice DuBose, Bobby Duggan, Wyman Duran, Nicholas

63 94 15

Part of Hillsborough

Parts of Osceola & Polk

Part of Broward Part of Duval

Part of Broward Part of Pinellas Part of Volusia

112

Part of Miami-Dade

Leek, Tom

FLORIDA HOUSE

Name

District

Location by County

District

Location by County

Shoaf, Jason

Calhoun, Franklin, Gulf, Jefferson, Lafayette, Liberty, Madison, Taylor, Wakulla, part of Leon

Magar, MaryLynn

82 38 36 34 23 58

Parts of Martin & Palm Beach

Maggard, Randall Scott

Part of Pasco Part of Pasco

Silvers, David

87 51 91 49 28 65

Part of Palm Beach

Mariano, Amber Massullo, Ralph McClain, Stan

Sirois, Tyler

Part of Brevard

Citrus, part of Hernando

Slosberg, Emily

Part of Palm Beach Part of Orange Part of Seminole

Part of Marion

Smith, Carlos Guillermo

McClure, Lawrence McGhee, Kionne Mercado, Amy Newton, Wengay

Part of Hillsborough Part of Miami-Dade

Smith, David Sprowls, Chris Stark, Richard

117

Part of Pinellas Part of Broward Part of St. Johns

48 70

Part of Orange

104

Parts of Hillsborough, Manatee, Pinellas, Sarasota

Stevenson, Cyndi Stone, Charlie Sullivan, Jennifer

17 22 31 44 60 39

Levy and part of Marion Parts of Lake & Orange

Oliva, José R.

110

Part of Miami-Dade

Omphroy, Anika Overdorf, Toby Payne, Bobby Perez, Daniel Pigman, Cary

95 83 19

Part of Broward

Thompson, Geraldine Toledo, Jackie Tomkow, Josie Trumbull, Jay Valdes, Susan Watson, Barbara Watson, Clovis Jr. Webb, Jennifer Willhite, Matt Williams, Patricia H.

Part of Orange

Parts of Martin & St. Lucie

Part of Hillsborough

Bradford, Putnam, Union, part of Clay

Parts of Osceola & Polk

116

Part of Miami-Dade

Part of Bay

Glades, Highlands, Okeechobee, part of St. Lucie

Part of Hillsborough Part of Miami-Dade

107

Plakon, Scott

29 50

Part of Seminole

20 69 86 92

Parts of Alachua & Marion

Plasencia, Rene

Parts of Brevard & Orange Parts of Broward & Miami-Dade

Part of Pinellas

Polo, Cindy Polsky, Tina Ponder, Mel

103

Part of Palm Beach

Part of Palm Beach Part of Okaloosa

Part of Broward

Pritchett, Sharon Raschein, Holly

102 120

Parts of Broward & Miami-Dade Monroe, part of Miami-Dade Flagler, parts of St. Johns & Volusia

Renner, Paul

24 79 71 76

Roach, Spencer Robinson, Will Rodrigues, Ray

Part of Lee

Parts of Manatee & Sarasota

Part of Lee

Rodriguez, Ana Maria Rodriguez, Anthony

105 118 106

Parts of Broward, Collier & Miami-Dade

Florda House of Representatives Chamber Opening Day tradition where the Florida House chamber clebrates with floral tributes on members' desks.

Part of Miami-Dade

Rommel, Bob

Part of Collier

Roth, Rick

85 32 27

Part of Palm Beach

Sabatini, Anthony Santiago, David

Part of Lake Part of Volusia

Budget

PASSED

General Appropriations Act 2020 House Bill 5001 & House Bill 5003

Sponsored by the House Appropriations Committee

HB 5001 - General Appropriations Act 2020 and HB 5003 Implementing the 2020-2021 General Appropriations Act by House Appropriations Committee PASSED. The bills, respectively, are Chapters No. 2020-111 & 2020-114 Laws of Florida, effective July 1, 2020. The Florida Legislature passed a $93.2 billion budget for fiscal year 2020-2021, which leaves $2 billion in reserves.

Voting Record on P. 18

Impacts from the General Appropriations Act Include:

Statewide Medicaid Managed Care Long Term Care (SMMC LTC): SMMC LTC will receive a funding increase of $248,800,000. The program is designed to provide LTC services to Medicaid–eligible (i.e., low income) disabled adults and elders who need nursing home level of care. SMMC LTC services may include, among others, adult day care, assisted living, caregiver training, hospice services, medical equipment, respite care and various therapies. The SMMC LTC program has a finite number of slots for eligible service recipients. As of March 13, 2020, 58,464 Medicaid applicants awaited slots to open. Community Care for the Elderly (CCE): CCE, a non-Medicaid program, will receive an increase of $4,219,444 in funding to create an additional 501 service slots. CCE provides community based services to help functionally impaired elders, ages 60+, live in the least restrictive and most cost effective environments to forestall or prevent nursing home placement. CCE services include: adult day care, adult day health care, case management, case aide, chores, companionship, consumable medical supplies, counseling, escort, emergency alert response, emergency home repair, home delivered meals, home health aide, homemaker, home nursing, information and referral, legal assistance, material aid, medical therapeutic services, personal care, respite, shopping assistance, transportation, and other community-based services. Home Care for the Elderly (HCE): HCE will receive a funding increase of $600,000 to serve 146 more elders. HCE provides care in family-type living arrangements for non-Medicaid individuals, ages 60+, who have incomes and assets meeting the Institutional Care Program (ICP) standard and who are at great risk of nursing home placement.

“Budget policy at the federal, state, and local levels should promote economic growth and stability.” -AARP Public Policy Institute

Budget

Implementing Bill to General Appropriations Act: Retroactive Medicaid Eligibility (RME): House Bill 5001 retains the RME reimbursement restriction for non-pregnant adults 21 years of age and older. HB 5003 requires the Agency for Health Care Administration to submit to the Governor, the President of the Senate, and the Speaker of the House of Representatives, by March 1, 2021, the Medicaid Managed Care waiver independent evaluation regarding the impact of the waiver of Medicaid retroactive eligibility on beneficiaries and providers.

Program for All-Inclusive Care for the Elderly (PACE): The state will seek federal approval to serve an additional 203 slots in Baker, Clay, Duval, Nassau, St. Johns, Martin, Palm Beach, and Miami-Dade Counties at a cost of $6,277,703. PACE was created to provide clients their medical and long-term care needs managed through a single provider while continuing to live safely in their communities. The Department of Elderly Affairs (DOEA) and the Agency for Health Care Administration (AHCA) cooperatively administer PACE. Alzheimer’s Disease Initiative (ADI): ADI services will receive an increase of $2,839,911 to serve an additional 243 individuals on the statewide waitlist. ADI provides services to individuals with Alzheimer’s disease or other memory disorders and to their families. ADI respite services for families include in home and adult day care, emergency and extended care (up to 30 days) services. Also, the ADI provides support services that include: case management, specialized medical equipment and supplies, caregiver counseling and support groups, and caregiver training. Public Guardianship Program: The Public Guardianship program will receive an increase of $7,782,810. The Office of Public and Professional Guardians, housed within the Department of Elder Affairs, oversees services for persons who have no willing family members or friends to serve as their guardians and who have inadequate incomes or assets to afford private guardians. Affordable Housing: For the first time since 2007, the legislature fully funded affordable housing at $370,000,000. Three different programs that address affordable housing needs received money. A total of $225 million goes to the Local Government Housing Trust Fund for the State Housing Initiatives Partnership (SHIP) program, which funds housing programs in all 67 counties. SHIP funds are for repairs of existing housing to allow seniors to age in place or to provide retrofitting for persons with special needs. A total of $115 million goes to the State Housing Trust Funds for Florida Housing Finance Corporation programs such as the State Apartment Incentive Loan (SAIL) program. Finally, $300 million goes to HHRP (hurricane SHIP). ** While the funding for SHIP was vetoed from the budget, the Governor’s decision to direct $250 million in CARES Act funding for rental and mortgage assistance shows the Governor continues to prioritize affordable housing in the state. The total for housing assistance is now higher than originally allocated. The veto of SHIP funding means those funds stay in the Local Government Housing Trust Fund and will not revert to general revenue. The hope is that because the CARES funding must be tied to COVID-19 it will be used by the end of the year and the SHIP money can be re allocated.**

Nursing Home Rate Increase: Beginning July 1, 2020, each nursing home shall get an equal percentage unit cost- of-living increase. The unit cost increase to the cost-based rate or to the prospective payment rate, whichever is greater, is permanent through September 30, 2023.

Canadian Prescription Drug Importation Program: The program will receive $10,000,000 in recurring funds to assist AHCA with the administration of the program.

2019 Prescription Drug Price Fighter Award AARP State President, Volunteer Leaders, and Staff present Representative Thomas Leek with the award.

Budget

HB 5001 - General Appropriations Act H ouse F loor - 3/19/20 Y Alexander Y Aloupis Y Altman

HB 5001 - General Appropriations Act S enate F loor - 3/19/20

Y Albritton - Berman Y Brandes Y Galvano Y Hooper Y Montford Y Diaz

Y Baxley Y Book - Braynon Y Farmer Y Gibson Y Hutson

Y Bean Y Bracy

Y Benacquisto

Y Andrade

32 Yeas 0 Nays 8 No Votes

119 Yeas 0 Nays 1 No Vote

Y Bradley

Y Antone Y Beltran Y Burton Y Casello Y Daley Y DiCeglie Y DuBose Y Eskamani

Y Ausley Y Brannan

Y Avila Y Brown

Y Bell

Y Broxson

- Cruz

Y Buchanan

- Flores

Y Gainer - Harrell Y Mayfield Y Rouson Y Stewart Y Wright Y Pizzo

Y Bush

Y Byrd

Y Caruso

Y Gruters

Y Clemons - Daniels Y Donalds Y Duggan Y Fernández

Y Cortes, J

Y Cummings Y Diamond

Y Lee Y Perry

Y Davis Y Drake Y Duran

Y Passidomo

Y Driskell Y Eagle

Y Powell

- Rader

- Rodriguez

Y Simmons - Taddeo

Y Simpson Y Thurston

Y Stargel Y Torres

Y Fernandez-Barquin Y Fetterhoff

Y Fine

Y Fischer Y Good

Y Fitzenhagen Y Gottlieb Y Gregory Y Hattersley

Y Geller Y Grall Y Grieco

Y Goff-Marcil

Y Grant, J.

Y Grant, M.

Y Hage

Y Hart

Y Hill

Y Hogan Johnson Y Ingoglia

Y Jacobs Y Joseph Y Latvala Y Mariano Y McGhee Y Omphroy Y Pigman

Y Jacquet Y Killebrew

Y Jenne Y La Rosa Y Magar Y McClain Y Newton Y Payne Y Plasencia Y Pritchett Y Robinson Y Rommel Y Smith, C. Y Stevenson Y Shoaf

Y Jones

Y LaMarca Y Maggard Y McClure

Y Leek

Y Massullo Y Mercado Y Overdorf Y Plakon Y Ponder Y Roach

HB 5003 - Implementing the Appropriations Act

Y Oliva Y Perez Y Polo

Y Polsky Y Renner

S enate F loor - 3/19/20

Y Raschein

Y Albritton - Berman Y Brandes

Y Baxley Y Book - Braynon Y Farmer Y Gibson Y Hutson

Y Bean Y Bracy

Y Benacquisto

Y Rodrigues, R.

Y Rodriguez, A.

Y Rodriguez, A. M.

32 Yeas 0 Nays 8 No Votes

Y Bradley

Y Roth Y Silvers

Y Sabatini

Y Santiago Y Slosberg

Y Broxson - Flores Y Gruters

- Cruz

Y Sirois

Y Smith, D.

Y Sprowls Y Sullivan Y Trumbull Y Webb

Y Stark

Y Diaz

Y Gainer - Harrell Y Mayfield Y Rouson Y Stewart Y Wright Y Pizzo

Y Stone

Y Thompson

Y Galvano Y Hooper Y Montford

Y Toledo

Y Tomkow

Y Valdés Y Willhite

Y Lee Y Perry

Y Watson, B.

Y Watson, C. Y Williamson

Y Passidomo

Y Williams

Y Yarborough

Y Zika

Y Powell

- Rader

- Rodriguez

Y Simmons - Taddeo

Y Simpson Y Thurston

Y Stargel Y Torres

Budget

Health & Supportive Services

HB 5003 - Implementing the Appropriations Act H ouse F loor - 3/19/20 Y Alexander Y Aloupis Y Altman Y Andrade Y Antone Y Ausley Y Avila Y Bell Y Beltran Y Brannan Y Brown Y Buchanan Y Burton Y Bush Y Byrd Y Caruso Y Casello Y Clemons Y Cortes, J Y Cummings Y Daley - Daniels Y Davis Y Diamond Y DiCeglie Y Donalds Y Drake Y Driskell Y DuBose Y Duggan Y Duran Y Eagle Y Eskamani Y Fernández Y Fernandez-Barquin Y Fetterhoff Y Fine Y Fischer Y Fitzenhagen Y Geller Y Goff-Marcil Y Good Y Gottlieb Y Grall Y Grant, J. Y Grant, M. Y Gregory Y Grieco Y Hage Y Hart Y Hattersley Y Hill Y Hogan Johnson Y Ingoglia Y Jacobs Y Jacquet Y Jenne Y Jones Y Joseph Y Killebrew Y La Rosa Y LaMarca Y Latvala Y Leek Y Magar Y Maggard Y Mariano Y Massullo Y McClain Y McClure Y McGhee Y Mercado Y Newton Y Oliva Y Omphroy Y Overdorf Y Payne Y Perez Y Pigman Y Plakon Y Plasencia Y Polo Y Polsky Y Ponder Y Pritchett Y Raschein Y Renner Y Roach Y Robinson Y Rodrigues, R. Y Rodriguez, A. Y Rodriguez, A. M. Y Rommel Y Roth Y Sabatini Y Santiago Y Shoaf Y Silvers Y Sirois Y Slosberg Y Smith, C. Y Smith, D. Y Sprowls Y Stark Y Stevenson Y Stone Y Sullivan Y Thompson - Toledo Y Tomkow Y Trumbull Y Valdés Y Watson, B. Y Watson, C. Y Webb Y Willhite Y Williams Y Williamson Y Yarborough Y Zika 118 Yeas 0 Nays 2 No Votes

“It is essential to improve healthcare quality and safety, and to raise consumer awareness of these issues, as we continue our efforts to assure affordable healthcare is available for all.” -AARP Public Policy Institute

Budget

PASSED AARP Supported Amended Version Sponsored by Representative Webb & Senator Albritton Voting Record on P. 26 PASSED AARP Supported Sponsored by Representative Pigman Voting Record on P. 31

Direct Care Workers Senate Bill 1676 and Companion House Bill 7053 As filed, the legislation would have allowed non-nursing staff providing eating assistance to nursing home residents to count toward compliance with minimum nursing staffing standards. The bills would have allowed each nursing home to determine its minimum nursing staffing standards. As amended, the legislation authorizes a nursing home facility to use paid feeding assistants, but prohibits the facility from counting paid feeding assistants’ time toward compliance with minimum nursing staffing standards. See HB 607 for final bill analysis. Health Care Practitioners House Bill 607 The legislation is the final vehicle for the provisions of the progenitor bills, SB 1676 and HB 7053 (direct care workers). AARP’s amendatory efforts contributed to those direct care bills being identified as a vehicle for expansion of scope of practice for several professions. he legislation is now Chapter No. 2020-009, Laws of Florida, effective July 1, 2020. HB 607 does the following: • Permits autonomous primary/midwifery practice for Advanced Practice Registered Nurses (after meeting specified qualifications). • Specifically, it does not permit any reduction in the minimum nursing staffing standards for nursing homes. AARP was a leader in the charge to defeat attempts to eliminate those minimum standards. • Permits licensed nurses to delegate some tasks to Certified Nursing Assistants in home health settings and under specific conditions. Long-Term Care House Bill 1373 and Companion Senate Bill 1544 The legislation will permit the Secretary of the Florida Department of Elder Affairs to determine which priority levels of wait-listed applicants for long-term-care home-and-community-based services will no longer require annual reassessments. Historically, those applicants assessed at levels 1 and 2 (i.e., those needing the least assistance) were rarely placed into those services, obviating the need for the annual reassessments. It also allows a community care-for-the-elderly service provider to dispute a referral by Adult Protective Services. The legislation is now Chapter No. 2020-46, Laws of Florida, effective July 1, 2020.

PASSED AARP Supported

Genetic Information for Insurance Purposes House Bill 1189 and Companion Senate Bill 1564 The legislation prohibits life and long term care insurers from canceling, limiting, or denying coverage and from establishing differential premium rates based on genetic information. The legislation is now Chapter No. 2020-162, Laws of Florida, effective July 1, 2020.

Sponsored by Representative Sprowls & Senator Stargel

Voting Record on P. 34

Automated Pharmacy Systems House Bill 59 and Companion Senate Bill 708 The legislation authorizes community pharmacies to dispense medicinal drugs through the use of Automated Pharmacy System (APS) located outside of the pharmacies. It also requires the APS systems to provide live video or tele-conferencing counseling by pharmacists at the time of dispensing. The legislation is now Chapter No. 2020-124, Laws of Florida, effective July 1, 2020.

PASSED AARP Supported Sponsored by Representative Willhite & Senator Hutson Voting Record on P. 36 PASSED AARP Supported Sponsored by Representatives Plakon & Willhite & Senator Stargel Voting Record on P. 39

Alzheimer's Disease House Bill 835 and Companion Senate Bill 1542 The legislation requires state agencies to provide assistance to the Alzheimer’s Disease Advisory Committee, and creates a position of Dementia Director within the Florida Department of Elder Affairs. It also revises incentive-funding criteria for memory disorder clinics. The legislation is now Chapter No. 2020-45, Laws of Florida, effective July 1, 2020.

Amended on to HB 607 AARP Supported Sponsored by Senator Albritton & Representative Tomkow Voting Record on P. 44

PASSED AARP Supported

Assisted Living Facilities House Bill 767 and Companion Senate Bill 402 The legislation updates regulatory requirements for Assisted Liv- ing Facilities (ALF). Notably, the original bill deleted reporting of adverse incidents until 15 days after an incident. AARP objected to this change. In the final bill, ALFs must report adverse incidents to the Florida Agency for Health Care Administration within 1 business day. The legislation is now Chapter No. 2020-68, Laws of Florida, effective July 1, 2020.

Sponsored by Representative Grant (M) & the Senator Harrell

Voting Record on P. 41

Health & Supportive Services

FAILED AARP Supported Sponsored by Representative Rommel & Senator Baxley Voting Record on P. 47 FAILED AARP Supported Sponsored by Representative Gregory & Senator Harrell Voting Record on P. 50 FAILED AARP Supported Sponsored by Representative Rodriguez (Ant) & Senator Flores Voting Record on P. 52 FAILED AARP Monitored Sponsored by Senator Bean & Representative Yarborough

FAILED AARP Supported Sponsored by Senator Harrell & Representative Willhite Voting Record on P. 44 FAILED AARP Supported Sponsored by Representative Mariano & Senator Baxley Voting Record on P. 45

Electronic Prescribing House Bill 1103 and Companion Senate Bill 1830 The legislation would have required prescribers to telephonically or electronically generate and transmit prescriptions. However, a prescriber may provide a written prescription if electronic prescribing is unavailable due to a temporary electrical or technological failure or the prescription is provided to a patient of a free clinic, hospital’s emergency department, or health care practitioner providing free services. Dispensing Medicinal Drugs Senate Bill 100 and Companion House Bill 57 The legislation would have authorized licensed prescribers to dispense 48-hour supplies of drugs, rather than 24-hour supplies, to hospital emergency department patients and discharged patients. It would have authorized a licensed prescriber to dispense 72-hour supplies of drugs during declared states of emergency in their areas.

Program of All-Inclusive Care for the Elderly (PACE) House Bill 833 and Companion Senate Bill 916 The legislation would have directed Florida Agency for Health Care Administration, in consultation with DOEA, to review and consider program applications submitted by entities seeking to become PACE organizations.

Health Care Practitioner Licensure / Dept. of Health Senate Bill 926 and Companion House Bill 1143 The legislation would have authorized Florida to enter into the Interstate Medical Licensure Compact , the multi-state agreement which sets forth an expedited path for physicians to apply for and receive licenses in states where they are not currently licensed.

FAILED AARP Supported

Prescription Insulin Drugs Senate Bill 116 and Companion House Bill 109 The legislation would have required health insurers and Health Maintenance Organizations to limit the consumer cost sharing of the 30-day supply of insulin to no more than $100.

Price Transparency in Health Care Services House Bill 1205 and Companion Senate Bill 1626 The legislation would have prohibited a health maintenance organization or health care insurer from requiring a subscriber to make a payment for a covered service that would have exceeded the cash price for that service.

Sponsored by Senator Cruz & Representative Duran

Voting Record on P. 47

FAILED AARP Opposed

Medicaid Services Senate Bill 52

Health Insurance Benefits Senate Bill 1836 and Companion House Bill 1279 The legislation would have increased the range of shared savings incentive services covered under the 2019 Patient Saving Act.

The legislation would have placed into Florida’s statutes current regulatory policy under which Medicaid retroactively covers eligible health care expenditures back to the first day of the month in which a non-pregnant adult applies for Medicaid.