Transcript Highlights:

• It increases the transient accommodations tax rates by 1 percentage point.
• <00:16:03.920> Transit 2026 increases tax accommodation Transit 2026 increases tax accommodation
• :16:05.519> 1<00:16:05.680> percentage Accommodations Tax raise by 1 percentage Accommodations
• First up is House Bill 973, relating to transient accommodations.
• furnishing of the transient accommodation.

Keywords: 910, house, all

Summary: The joint hearing of the House Committees on Tourism, Housing, and Economic Development and Technology began with House Bill 604, which would raise the transient accommodations tax by 1 percentage point starting January 1, 2026 and direct the revenue to the Hawaiian Homes General Loan Fund. The Department of Hawaiian Home Lands supported the bill as a source of consistent funding, while the Grassroots Institute of Hawaii and the Tax Foundation of Hawaii opposed it, warning that Hawaii already has very high tourism taxes and that further increases could hurt visitors, workers, and the broader economy. The committees later voted to pass HB 604 with amendments as an HD1 and to defer the date; the vote was adopted, with one member noted as having reservations in the housing committee vote and one no vote in that committee. The committees then heard House Bill 973, which would require transient accommodations brokers and others to display all resort fees, taxes, and government-imposed charges upfront in advertised prices and would establish penalties. The Office of Consumer Protection expressed concerns about the bill’s intent requirement and noted a forthcoming federal FTC rule on junk fees; the Hawaii Hotel Alliance strongly supported the measure as promoting transparency and uniformity, and a public witness also supported price transparency while questioning the size of the penalties. After questions about federal rescission of the FTC rule and enforcement authority, the committees voted to pass HB 973 with amendments as an HD1, including removal of the intent requirement and technical changes, and the recommendation was adopted unanimously. House Bill 594, relating to hotel service disruptions, would require hotel keepers to give notice of disruptions to guests and third-party vendors and allow damages. The Attorney General’s office recommended amendments to add a purpose section and savings clause to address First Amendment and contract clause issues, and Unite Here Local 5 supported the bill, saying guests are not always notified of disruptions and that the measure would improve transparency; the union agreed with the legal amendments. The committees voted to pass HB 594 with amendments as an HD1 and to defer the date, adopting the recommendation. The final measures were House Bill 448 and House Bill 449, both related to technology enablement and economic development for small businesses, including tourism-related businesses. HTDC strongly supported both bills but emphasized that technology should be targeted to the actual problem and coordinated with sister agencies rather than applied broadly; the Hawaii Food Industry Association and Chamber of Commerce also supported HB 448, and HB 449 received support from HTDC and HFIA. The committees adopted amendments to HB 448, including moving a $250,000 appropriation to the committee report, and to HB 449, including deleting duplicative language tied to HB 448 and moving a $500,000 appropriation to the committee report; both bills were passed as HD1s with deferred dates, and the hearing adjourned after the votes were adopted.

Transcript Highlights:

• The bill repeals existing laws imposing the transit accommodations tax on cruise ships, effective retroactive
• It repeals existing laws imposing the<00:15:20.800> transit<00:15:21.199> accommodations
• <00:51:10.079> Specifies<00:51:10.720> that accommodations tax law.
• Specifies that accommodations tax law.
• c> transit<00:51:16.319> accommodation<00:51:16.960> taxes to state transit accommodation

Bills: SB2816

Keywords: enterprise zones, economic development, innovation enterprise, job creation, Hawaii, 910, house, all

Summary: The committees heard House Bill 2195, HD1, which would replace the existing transit accommodations tax on cruise ships with a per-passenger infrastructure fee collected by the Department of Transportation and deposited into a new cruise ship special fund. Testimony included support from Norwegian Cruise Line Holdings and comments from the Tax Foundation of Hawaii warning that the bill should remain narrowly tied to harbor-related uses to avoid potential Tonnage Clause issues. The Department of Transportation testified that cruise-related harbor work includes pier repairs, dredging, terminal upgrades, and shore power, and said a dedicated revenue stream would help prioritize cruise infrastructure needs. The Attorney General’s office said it had submitted written comments but did not address questions about the litigation or constitutional background. Members questioned whether the new special fund was necessary when the existing harbor special fund already finances similar improvements. DOT said the funds overlap and suggested the bill could be amended to use the harbor special fund with a separate cruise subaccount, while still preserving a dedicated revenue stream and separate accounting. DOT also said it currently collects port entry, dockage, and per-head passenger fees from cruise ships and that existing cruise-related expenditures from the harbor special fund have not been challenged. The chair ultimately recommended moving HB 2195 forward as introduced, while continuing discussions about the fund structure and awaiting further clarity from the Attorney General and DOT. In decision-making, the committees voted to pass HB 2195, HD1, as is. They also voted to pass House Bill 916, HD1, relating to the low-income housing tax credit, which would allow certain state low-income housing tax credits to offset state transient accommodations taxes in the same county and make Act 129 of 2016 permanent. Both the Committee on Tourism and the Committee on Economic Development and Technology adopted the chair’s recommendation to pass HB 916, HD1, unamended. The hearing was then adjourned.

Transcript Highlights:

• of chronic diseases like diabetes, heart disease, and HIV/AIDS, and are twice as likely to have disabilities
• Lee, a disabled Chinese senior, was in great need of home care assistance and support, and he was unable
• When we have our staff accommodate three different audit teams in the span of a few weeks, that takes
• Despite calling over 30 offices, not one in-network provider could accommodate her needs.
• It's a substantially similar bill to help individuals with developmental disabilities to ensure that

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• They all have learning disabilities. They all have learning disabilities.
• who do not have disabilities.
• who do not have disabilities.
• who do not have disabilities.
• disabilities. So, for those reasons, we disabilities.

Keywords: 1189, house, all

Transcript Highlights:

• adjudication of certain sexual or assaultive offenses committed against a child or a person with a disability
• juvenile cases from 12 or younger to 18 or younger and clarifying the definition of a person with a disability
• experiments were being used on children who had Down syndrome and other intellectual and developmental disabilities
• These products will become unattainable, and my disability will only increase.

Bills: SB263, SB370, SB663, SB924, SB987, SB1939, SB1937, SB1598, SB2798, SB2801, SB2580, SB2569, SB2514, SB2064, SB1940, SB1621, SB2601, SB1379, SB1376, SB1372, SB1353, SB2216, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1612, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SCR8, SB31, SB33, SB3, SB1405, SB1948, SB243, SB20, SB217, SB264, SB269, SB650, SB681, SB528, SB502, SB740, SB916, SB995, SB2581, SB3031, SB24, SB2570, SB1566, SB552, SJR1, SB646, SB379, SB1171, SB1121, SB1120, SB1061, SB1036, SB1019, SB890, SB11, SB868, SB1188, SB1254, SB2778, SB2543, SB2443, SB1333, SB1259, SB1401, SB1404, SB2139, SB2165, SB2237, SB2268, SB1202, SB1198, SB1212, SB1451, SB1470, SB1498, SB965, SB1547, SB1667, SB1818, SB1902, SB2129, SB2078, SB2069, SB1737, SB1589, SB1318, SB387, SB1150, SB1574, SB2127, SB3034, SB860, SB1278, SB263, SB370, SB663, SB924, SB987, SB1939, SB1937, SB1598, SB2798, SB2801, SB2580, SB2569, SB2514, SB2064, SB1940, SB1621, SB2601, SB1379, SB1376, SB1372, SB1353, SB2216, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1612, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SCR5, SCR32, SCR8, HB3228, HB2802, HB45, HB1318, HB5560, HB2894, HB4344, HB4238, HB2775, HB34, HB33, HB 12, HB148, HB 130, HB4273, HB4850, HB2733, HB4783, SB1833

Keywords: SB 263, Texas franchise tax, cost of goods sold, COGS, broadcasters, television broadcasting, radio broadcasting, media tax, broadcast license, FCC, 47 C.F.R. Part 73, 47 C.F.R. Part 74, film production, television production, tax deduction, margin tax, Texas Tax Code, depreciation, amortization, broadcast rights

Transcript Highlights:

• This budget also includes $12 million for renovation costs for the Kin Kalakaua building to accommodate
• This budget also includes $12 million for renovation costs for the Kin Kalakaua building to accommodate
• with disabilities. with disabilities.
• <04:26:40.880> Thank<04:26:41.040> you, those with disabilities only.
• Thank you, those with disabilities only.

Keywords: 910, house, all

Transcript Highlights:

• way you may not be able to accommodate way you may not be able to accommodate it<02:34:05.840>
• <02:34:09.200> Plans<02:34:09.680> did<02:34:09.840> the accommodated it properly
• Plans did the accommodated it properly.
• <02:34:54.560> the accommodate the accommodate the request.<02:34:56.760> So<02:34:57.760
• Because I had, um, the disability rights community bring forward some language that I just got to...

Keywords: 1191, senate, all

Transcript Highlights:

• If you need a special accommodation, there are gentlemen at the doors.
• If you need a special accommodation, there are gentlemen at the doors.
• If you need a special accommodation, there are gentlemen at the doors.
• Miss Torres, please introduce yourself to the committee, and you have two minutes. disabilities in our
• communities how many disabilities in our communities how many more<01:33:37.320> marginalized

Keywords: 1183, house

Transcript Highlights:

• disabilities in our wonderful state. disabilities in our wonderful state.
• Moving next to line 177, this is a requirement for DHS to post interpretive guidelines for disability
• Moving next to line 227, this is a budget-neutral proposal related to disability waiver annual vehicle
• c> waiver<01:11:54.480> um,<01:11:54.680> annual<01:11:55.560> vehicle Disability
• , if we're able to offset disabilities, if we're able to offset that<01:25:51.440> through<01:

Keywords: 1187, senate, all

Transcript Highlights:

• Okay, item next, we're going to try to accommodate people that have had people come in from a distance
• Nathaniel Olson, a disability advocate for the state of Minnesota. Okay.
• Nathaniel I'm Olson, a disability Nathaniel I'm Olson, a disability advocate<00:10:47.360> for
• So, if we talk about<00:10:57.080> taxes Nathaniel Olson, a disability advocate for the state
• We are going to just—we're trying to accommodate people who have driven in from a distance.

Keywords: 1183, house

Transcript Highlights:

• Relating to the commission of the criminal offense of endangering. a child, elderly individual, or disabled
• Yeah, and as we were discussing it, you and I, I think we're working to find common ground on accommodations
• So, in comparison, the disabled veterans plates are over half a million in the state.
• in working with everybody, this amendment would. make it mandatory, keeps permissive for all, for disabled
• Please wave your hand, try to get the attention of the chair so that we can make those accommodations

Bills: HJR175, HJR88, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR9, HCR40, HB5138, SB17, HB4944, HB2284, HB3421, SB1569, SB2420, SB1968, SB2351, SB2544, SB1490, SB1349, SB1568, SB2776, HB3531, HB2149, HB4327, HB3158, HB3717, HB4520, SB888, SB552, HB3138, HB3704, HB2921, HB4853, HB4506, HB3892, HJR161, HJR175, HJR88, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR76, HCR127, HCR9, HCR40

Keywords: constitutional amendment, medium of exchange, currency rights, digital currency, financial autonomy, tax exemption, rainwater harvesting, graywater system, local government, ad valorem taxation, housing finance, multifamily residential, low income, audit requirements, affordable housing, development bonds, oil waste, gas waste, liability, treatment processes

Transcript Highlights:

• I appreciate the accommodation.
• disabilities under one roof. disabilities under one roof.
• So, highly functioning with disabilities. highly functioning with disabilities.
• The those types of disability.
• building or somebody with a disability. building or somebody with a disability.

Keywords: 1191, senate, all

Transcript Highlights:

• mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
• mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
• mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
• mental disorders, having a physical, intellectual, or developmental disability that significantly impairs
• I can accommodate you.

Keywords: 1189, house, all

Transcript Highlights:

• and their spouses to the state and private businesses and establishing purchase preferences for disabled
• and their spouses to the state and private businesses and establishing purchase preferences for disabled
• for disabled veterans and Military<00:38:25.200> spouses<00:38:25.720> when<00:38:25.800
• So, for me, you know, I wanted to go a soft way and, you know, to accommodate everybody.
• everybody that was the accommodate everybody that was the reason<03:48:51.800> I<03:48:51.960

Keywords: 1189, house, all

Transcript Highlights:

• To make sure that we accommodate everyone especially for those that are standing if you need to get off
• Students with disabilities, do we just pretend these realities don't exist?
• Senate Bill 156 and Senate Bill 157 and Senate Bill 158 and LGBTQIA plus students, students with disabilities
• Mendocino County in California Redwoods and to accommodate kids we had to make a lot of changes, and

Bills: SB12, SB1565, SB13, SJR12, SB686, SB371, SB204, SB609, SB112, SB400, SB813, SB 12, SB 13

Keywords: parental rights, education, social transitioning, diversity, equity, inclusion, school policy, student clubs, school district, grievance procedure, public education, diversity and inclusion, funding penalties, school libraries, library advisory councils, library materials, educational content, challenging materials, constitutional amendment, school choice

Transcript Highlights:

• First Reprint, authorizes funding for on-demand micro-transit service under the senior citizen and disabled
• Citizen and disabled resident transportation assistance program.
• Through you, Madam Chairman, again, thank you for accommodating me.

Keywords: 1146, all

Transcript Highlights:

• Because I'm most concerned for students with disabilities and 504 plans that parents I know have come
• This amendment simply, if adopted, would allow 100% disabled veterans to move the distinctive alphanumeric
• agencies to adopt sport-specific manuals and procedures, and allows parents to request exemptions or accommodations

Summary: The House convened with prayer, a moment of silence for former Lee County Judge John Carlin, the Pledge of Allegiance, and recognition of Officer Cody Popple of the FSU Police Department for his actions during the April campus shooting. The Speaker also outlined the final week of session, noting the chamber had passed 253 House bills and 149 Senate bills to date, with budget negotiations still unresolved and the 2026-27 budget not expected to be completed that week. The special order report was adopted, setting the day’s calendar and debate times. The chamber then took up several Senate bills, mostly technical or open-government sunset review measures, and passed them with little or no opposition: SB 100, SB 104, and SB 102 on Florida statutes; SB 7006, SB 7014, SB 7002, SB 7012, SB 7024, SB 7016, SB 7026, SB 7008, SB 7000, and SB 7004 on public-records or meeting exemptions; and SB 7022 on public records related to exams. Members asked questions on a few of these bills, especially the exam-records bill and the military and gaming-related exemptions, but the measures generally advanced without amendment. Votes ranged from unanimous to modest opposition, with SB 7026 passing 106-3 and SB 7022 passing 101-8. The most substantial debate centered on SB 7040, which recreates the emergency preparedness and response trust fund in the Executive Office of the Governor. Rep. Eskamani offered an amendment to let the fund expire, arguing the money had been misused and that the Legislature should retain control over spending; several members supported her position, while others said the fund is needed for rapid disaster response. A strike-all amendment from Rep. Griffiths was adopted instead, adding accountability provisions and expanding the fund to cover man-made emergencies as well as natural disasters. The bill then passed 82-25. The House also passed CS/CS/SB 302 on coastal resiliency, CS/CS/SB 984 on firefighter cancer benefits, CS/SB 474 on military affairs, and SB 488 on Department of Highway Safety and Motor Vehicles issues, with SB 488 still under amendment debate when the transcript ends.

Transcript Highlights:

• HB 3212, property tax exemption; disability determination. Finance.
• President, your Committee on Education, having under consideration Senate Bill 1166 relating to accommodation
• Introduction, first reading, and reference of bills: HB 2090, ASRS long-term disability, Finance; HB

Keywords: 1182, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, a quorum present, and several guest introductions, including visitors connected to a documentary on missing and murdered Indigenous women and representatives from charter schools. The chamber then moved through multiple Committee of the Whole calendars, considering a wide range of bills on drug offenses, firearms, child safety, health care, water, housing, tax, and government transparency. Most measures were advanced by voice vote out of committee, often after brief explanations of committee or floor amendments. On the first calendar, the Senate advanced SB 1061 on fentanyl sale thresholds, SB 1069 on prohibited weapons/muffling devices, SB 1081 on DCS case attorney appearance, SB 1127 on duty to report abuse/neglect, SB 1128 on a scrap metal theft study committee, and SB 1170 on narcotic drug sales to a minor. Several members argued against the drug bills as overly punitive mandatory-minimum measures that would reduce judicial discretion and fail to address addiction as a public health issue; supporters emphasized tougher penalties. SB 1127 and SB 1128 were amended before advancing. On later calendars, the Senate advanced SB 1021 on chiropractic board compliance training, SB 1120 and SB 1121 on radiation protection systems and health care institutions, SB 1171 on AHCCCS-related health care cost containment, SB 1174 on DCS intake hotline case history, SB 1188 on pharmacy scheduling/prescription authority, SB 1243 and SB 1244 on court-ordered treatment, SB 1166 on county school superintendent/GED preparation, SB 1241 on local planning and permitting, SB 1370 on patriotic youth group school access, SB 1024 on portable aircraft registration plates, SB 1075 on foreign entities and land conveyances, SB 1202 on groundwater, SB 1280 on the Game and Fish Commission, SB 1287 on groundwater/stock watering, SB 1167 on publication of notices, SB 1435 on explicit materials in schools and libraries, SB 1437 on public records fees, SB 1567 on sexually explicit materials, SCR 1031 on legislative boundaries, SB 1180 on income tax return conformity, SB 1221 on taxpayer protection, SB 1293 on GPLET abatement limitation, SB 1294 on property tax assessment, and SB 1429 on the Arizona Commerce Authority. Some bills drew substantive debate, including SB 1075, where an attempted floor amendment to address corporate homeownership was rejected, and SB 1202, where opponents criticized the bill as relying on outdated water data. The chamber then took up third readings on several bills. SB 1061, SB 1069, SB 1127, SB 1128, SB 1171, SB 1174, and SB 1188 all passed the Senate. SB 1021 failed on third reading, as did SB 1170, after members raised concerns about federal preemption, public safety, and mandatory minimum sentencing. SB 1243 also passed, despite objections that it expanded court-ordered treatment authority and raised due process concerns. The transcript ends with the Senate continuing through additional third-reading votes and procedural motions after the committee reports were adopted.

Transcript Highlights:

• The substitute includes intermediate care facilities for individuals with intellectual disabilities and
• The problems resulting from delays in care included hospitalization, disability, and even death.
• directives to health care facilities for protecting patients from vaccine-preventable diseases and accommodating

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• Due to the number of witnesses who have registered and to accommodate all who wish to testify, there
• I was diagnosed with a learning disability when I was a child.
• crosswalk, where the boy is hit, strikes the windshield, and will require lifelong care or will be disabled

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes