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Darryl Rouson, Debra Tendrich propose sweeping expansion of youth mental health screenings

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Democratic lawmakers are working to catch mental health problems early, before they spiral into lifelong crises.

St. Petersburg Sen. Darryl Rouson and Lake Worth Rep. Debra Tendrich filed companion bills (SB 1302, HB 1133) to require mental and behavioral health screenings for minors and young adults enrolled in Medicaid.

The goal is to confront what they describe as a statewide youth mental health emergency.

Tendrich told Florida Politics her push for reform was galvanized by personal tragedy. In 2023, her friend, Brian Hiltebeitel, was brutally killed on a Palm Beach County golf course by a 26-year-old man later deemed incompetent for trial due to mental illness and substance abuse concerns.

The case prompted her to examine how gaps in early identification and treatment can allow serious conditions to escalate unchecked. After speaking with Judges, pediatricians, psychiatrists, educators, behavioral health providers and families, the message she received was consistent: Early detection and timely intervention are essential to preventing long-term harm.

“We are in a mental health crisis,” Tendrich said in a statement. “It is imperative that Florida adopt systems for early, validated, and age-appropriate mental health screenings. With this bill, Florida is addressing the issue directly and responsibly.”

Under the legislation, managed care plans under the Agency for Health Care Administration and Medicaid would have to establish practice parameters for validated, nationally recognized mental and behavioral health screenings.

The screenings would have to be trauma-informed — recognizing trauma’s impact while prioritizing safety, compassion, empowerment and healing — and tailored to a child’s developmental stage.

Early detection efforts would be expanded from birth through age 22. Required evaluations would include autism and developmental screenings beginning at birth; depression and anxiety assessments during childhood and adolescence; age-appropriate substance-use screenings; and ongoing behavioral, social and emotional health evaluations through young adulthood.

Mental health professionals say many pediatric conditions are highly treatable when identified early, yet children are often diagnosed only after years of academic, social and emotional struggles. Embedding standardized screening into Medicaid care, the lawmakers said, will help identify warning signs sooner and connect families to services before problems intensify.

“This legislation is about giving families the support they need when concerns first arise, not months or years later,” Rouson said in a statement.

The proposal also places a strong emphasis on parental education. It would direct the Department of Health to provide guardians with accessible guidance on factors that influence mental health, including screen time, sleep, nutrition and parenting skills.

Families would also receive information on coordinated referrals to community mental health centers and behavioral health hubs, reinforcing what Tendrich called a collaborative care model focused on the whole child.

“This legislation builds a bridge between medical professionals and families,” she said. “Healthy routines — good sleep, responsible device use, and proper nutrition — are powerful tools in supporting a child’s mental health. That is how we treat the whole child.”

If approved by the Legislature and signed, the measure would take effect July 1.



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John Guard selected to fill 2nd District Court of Appeal opening

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The job isn’t his first choice.

While John Guard was not selected to fill the latest opening on the Florida Supreme Court, he likely will end up in the judiciary nonetheless.

The former acting Attorney General and current Senior Counselor to Attorney General James Uthmeier has been picked for the 2nd District Court of Appeal, pending Senate confirmation.

His future was clouded by his role in money moving from a Medicaid settlement to the Hope Florida Foundation back in 2024, money that didn’t go to charitable aims, but instead was routed ultimately to political advertising during that year’s political cycle.

Guard was among those subpoenaed over his role in the Hope Florida scandal. He signed the controversial settlement with Medicaid insurer Centene, but not before privately raising concerns, according to the Miami Herald/Tampa Bay Times, which obtained emails documenting the conversations.

The emails show Guard removed references to his office in drafts of the settlement in a series of back-and-forth conversations over the course of 22 days. 

Guard’s nomination last year for a U.S. District Court judgeship by President Donald Trump was ultimately stalled, with an administration source claiming it wanted to avoid a “nasty confirmation fight.” His nomination was not renewed this year.

During his interview with the Supreme Court’s Judicial Nominating Commission, Guard said the appellate court position was not his first choice.

“I think the best legal job is probably to serve on the Florida Supreme Court. And I say that because you’re the head of the judicial branch. You’re kind of responsible for helping with the legitimacy of our core system and maintaining the rule of law,” Guard said.

“If I were to rank them … I would say Supreme Court Justice, (U.S.) District Court Judge, and District Court of Appeals Judge. But I think between the District Court and the District Court of Appeals, there’s not that much difference,” he added.



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Florida must act now to secure workers’ retirement futures

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For at least three quarters of a century, Florida has been the dream for many Americans as they plan to retire.

Every day, the Sunshine State gains hundreds of new residents from other parts of the country who have wrapped up their primary careers and are setting sail on a new phase of their lives. These new Floridians not only buoy our economy through their stable consumption patterns but also support our state through their tax dollars, volunteer service, civic engagement, and philanthropy. Many, in fact, become restless after a few months of rest and start new businesses or rejoin the workforce here.

In recent decades, as more people realize that Florida is not only a retirement destination but a dynamic and vibrant place to raise a family and build a career, a new question is emerging: Can Floridians afford to retire in their home state?

The answer depends on many factors, from housing costs to health care. But one of the most important drivers of retirement security deserves more attention: the ability to save for retirement while working.

Many Floridians are fortunate to have access to a traditional pension or a workplace retirement plan such as a 401(k) or 403(b), which allows workers to save automatically through payroll deduction. Yet that opportunity is far from universal. In fact, 59% of Florida’s private sector workforce, nearly 5 million people, work for an employer that offers neither a pension nor a retirement savings plan.

This gap is not due to any lack of good intentions. Florida’s economy is powered by small businesses, and many employers simply lack the time, resources, or expertise to offer retirement benefits even when they want to. As a result, millions of hardworking Floridians are left to save on their own, without the convenience, structure, or incentives that enable many Americans to save for the long term.

Helping workers save for retirement is not only good for individuals, but it also strengthens our entire state. Workers with access to payroll deduction retirement plans are significantly more likely to save. Small businesses gain a competitive edge when they can offer benefits that attract and retain talent. And taxpayers benefit when future retirees are better prepared to support themselves rather than relying heavily on safety-net programs.

The challenge before Florida is clear: how do we expand access to retirement savings without new taxes, burdensome mandates, or one-size-fits-all solutions?

That is exactly why Florida Senate Bill 930 and House Bill 1357 deserve broad, bipartisan support.

While these bills don’t create a program overnight, they create a Florida Retirement Savings Task Force within the Department of Commerce, bringing together experts in finance, labor economics, retirement policy, small business, workforce development, and consumer advocacy. The task force’s charge is simple and sensible: study the retirement savings coverage gaps in Florida, examine proven models from other states and the private sector, identify barriers, and develop thoughtful, data-driven recommendations.

Importantly, this effort is temporary, transparent, and non-binding. The task force has no authority to impose new mandates or costs on workers or employers. Members serve without compensation. In other words, SB 930 and HB 1357 represent good governance: gather facts, listen to stakeholders, understand fiscal impacts, and recommend informed decisions for Florida’s future.

Florida’s reputation as a great place to retire was built on generations of economic opportunity and careful stewardship. Ensuring that today’s workers can build their own retirement security is essential if we want that reputation to endure. As vehicles to begin the process to facilitate a clear path to long-term financial security for all Floridians, SB 930 and HB 1357 are worth supporting.

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Jeff Johnson is the AARP Florida State Director.



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James Fishback files another finance report, but the fundraising isn’t much better

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Gubernatorial candidate James Fishback has lashed out at coverage of his campaign finance report, saying he raised more than the $950 his campaign originally reported during the final quarter of 2025 and blaming the media for getting it wrong.

“To be clear, we didn’t raise only $950. It was yet another lie by the fake news media to hurt our surging campaign,” he said.

The Republican candidate has finally provided proof that he raised more than $950, filing an amended report. Unfortunately for his campaign, his new total still significantly trails numbers from other GOP candidates, and much of what he did raise came from out-of-state donors, raising questions about how much support he actually has in Florida.

Since opening his campaign account in late November, Fishback has raised just under $19,000. But the burn rate has been significant, with the candidate spending just over $12,000, giving him a bit more than $6,000 on hand.

The spend includes more than $6,800 in “reimbursement” to Treasurer Alex Munguia, but it’s unclear what the reimbursement is for, raising further questions about the report.

Of the 360 contributions including in-kind, just 200 come from inside the state. Other donors claimed residency in Texas, California, New York, New Mexico and various other places with no vested interest in what happens in Tallahassee.

Campaign Manager Emma Wright said the almost $19,000 brought in is just a taste of the financial juggernaut to come, saying the campaign “hosted our first fundraiser of the year last Friday at the Ritz Carlton, Singer Island and are on track to hit $250,000 in donations.”

Even that aspirational goal, minus whatever is spent having fundraisers at the Ritz Carlton and paying staff and funding travel, falls short of the roughly $45 million raised thus far by the front-runner, U.S. Rep. Byron Donalds, a Black conservative Fishback relishes calling a “slave.” It also is well under the nearly $5.5 million brought in by former House Speaker Paul Renner.

Fishback’s Florida First PAC still has yet to record activity, though given the precedent set by the campaign account, they could always amend their filing.

On the bright side, a filing Jan. 12 shows the aforementioned Munguia was successful in recovering his credentials for the electronic filing system, meaning submitting future reports should be seamless.



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