Transcript Highlights:

• I am currently the Director of Operations for the WIT Program in San Angelo, Texas, where we provide
• , and you have members of the community who provide... direct services to this population, all coming
• The local providers I have just started to connect with, but through the caseworkers and the attorneys
• We see how billing uncertainty can overshadow the life-saving care that we provide.
• A PBM is... ...not allowed to pay its affiliated pharmacy more than another provider.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Providers from across the state.
• A PBM is not allowed to pay its affiliated pharmacy more than another provider.
• And, and mainly giving employers the flexibility to provide competitive benefits.
• It will save the employer money in providing health.
• So I'm happy to, um, provide that for you. Mr.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• more broadly with providers to help provide additional flexibility to provide nutritious food for older
• Providers would like the opportunity to provide more than a meal.
• It clarifies that providers must provide requested documentation to MDH.
• that she was provided at the time. that she was provided at the time.
• to provide those services.

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• from accessing the children care setting to provide early intervention services.
• This will truly provide a more stable and predictable child care supply.
• These are service providers. These are people who are non-traditional hours.
• So, for example, if there was a child care provider who.
• I mean a family child care provider I think is a very important and unique caregiver, provider, educator

Bills: SB132, SB241

Keywords: SB132, DOIT, Department of Information Technology, software replacement, equipment replacement, technology funding, revolving fund, capital equipment, enterprise services, state IT budgeting, software budgeting, amortization, depreciation, State Treasurer, Department of Finance and Administration, New Mexico, information technology, IT infrastructure, fund accounting, legislative appropriation

Bills: SB 397, SB 481, SB 596, SB 760, SB 855, SB 1195, SB 1196, SB 1233, SB 1257, SB 1318, SB 1368, SB 1388, SB 1398, SB 1524, SB 1558, SB 1589, SB 1677, SB 1792, SB 2034

Keywords: data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid, child protection, expungement

Transcript Highlights:

• Uh, one, we shifts to the provider.
• are not directly related to providing are not directly related to providing healthcare?
• provider information. provider information.
• device to be provided as well. device to be provided as well.
• provide transparency meaning this bill. provide transparency meaning this bill.

Keywords: 1189, house, all

Transcript Highlights:

• Provide flood relief and the bill on the redistricting, all it does is it involves politicians.
• I think, Senator King, that's really a backdoor way of providing broad discretion to police departments
• An amendment will correct some of these issues and provide emergency rooftop access for cabins located
• Strategies provided to ensure communication during a mass fatality event.
• This one is meant to provide blanket coverage where there is no coverage. We mentioned 700 miles.

Bills: SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16, SB14, SB3, SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16, SB14, SB3

Keywords: education, accountability, public school assessment, state law, transparency, intervention, performance ratings, Texas congressional redistricting, U.S. House districts, congressional map, redistricting, gerrymandering, 2020 Census, census tracts, block groups, voting districts, election law, Texas House of Representatives districts, federal congressional districts, 2026 elections

Transcript Highlights:

• <00:06:43.920> is<00:06:44.680> providing community and providers is providing community
• Yeah. 22 are with a different ICS<00:24:35.600> provider. ICS provider.
• We are currently, to your specific question about site visits, in the process of revalidating 5,800 providers
• We are currently, to your specific question about site visits, in the process of revalidating 5,800 providers
• c> the of revalidating 5,800 providers in the of revalidating 5,800 providers in the high-risk<00

Keywords: 1187, senate, all

Transcript Highlights:

• I'm a provider of 17 years Richardson.
• As a provider, the Care and Education.
• also continues to work against providers also continues to work against providers with<00:02:52.680
• <00:03:25.320> that their families, and the providers that their families, and the providers
• <00:08:32.520> Uh providers. Appreciate you. All right. Uh providers. Appreciate you.

Bills: HF4382, HF2929

Keywords: child care, day care, child care center, family child care, family day care, group family day care, licensed child care, licensing modernization, early childhood education, preschool, infant care, toddler care, school-age care, drop-in child care, night care, sick care, community-based child care, provider training, staff ratios, group size

Transcript Highlights:

• Anesthesia is typically provided by an anesthesia provider, such as an anesthesiologist, a CRNA, or a
• I provide anesthesia for about 1,000 children a year.
• by a qualified anesthesia provider.
• It takes away valuable time from our providers.
• You know, they have to provide food for their families, they have to provide benefits, have to provide

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• confirming provider eligibility.
• health providers throughout the state. health providers throughout the state.
• payments to providers.
• benefits and provider payment. benefits and provider payment.
• regarding eligibility for providers. regarding eligibility for providers.

Keywords: 1183, house

Transcript Highlights:

• just because you disagree with these institutions and what they teach their students or what they provide
• Yeah, the rules provide a mechanism to suspend the rule, and it's pretty common.
• The state won't even provide them with information on prenatal care or funding for prenatal care.
• Don't provide free daycare, free school lunches, or mandatory paid parental leave.
• The records provide... They provide vital information that they can't get anywhere else.

Bills: SB6, SB7, SB8, SB11, SB12, SB13, SB15, SB 6, SB 7, SB 8, SB 11, SB 12, SB 13, SB 15, SB 17

Keywords: SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life, pro-choice, Texas abortion law, civil liability, qui tam, private enforcement, bounty hunter law, attorney general, parens patriae, abortion litigation, anti-SLAPP, Texas Citizens Participation Act, fee shifting

Transcript Highlights:

• It provides relative disclosure of criminal records during trial.
• I'm present and will provide information if requested.
• Amendment 12 provides, again, we're talking about certified copy of birth certificates being provided
• We provide equipment and supported monitoring services to that agency. and go ahead and provide us some
• And the statute the way it states today doesn't provide that clarity.

Bills: HB91, HB123, HB167, HB255, HB264, HB321, HB884, HB955, HB967, HB968, HB969, HB978, HB985, HB994, HB1005, HB1104, HB1107, HB1109, SCR3

Keywords: criminal procedure, disclosure, criminal records, witness protection, trial rights, electronic monitoring, GPS ankle monitor, ankle bracelet, pretrial release, post-conviction supervision, bail monitoring, house arrest, corrections, criminal justice, law enforcement, prosecuting authority, court reporting, provider registration, LCLE, Louisiana Commission on Law Enforcement and Administration of Criminal Justice

Summary: The committee first handled housekeeping by voluntarily deferring HB 123, HB 255, and HB 994 without objection. It then took up SCR 3 by Sen. Myers, which sought to delay implementation of a State Police rule change affecting criminal history background checks for certain health care workers and authorized agents until October 1, 2026, to avoid hiring delays. An amendment was adopted to remove language authorizing parish and local law enforcement to perform checks during the interim. After testimony from health care stakeholders who supported the delay, SCR 3 as amended was reported favorably. The committee next considered HB 978 by Rep. Lecombe, which as amended changed the bill from a town-of-Addis-specific exception to a broader adjustment in the population threshold for municipalities required to remit special costs to the district indigent defender fund, raising the threshold from under 5,000 to under 9,000 population. Supporters said the change would relieve small mayor’s courts and similar local courts of a $45-per-violation burden that was not well suited to those systems. The bill drew support from local officials and was reported favorably as amended. HB 967 by Rep. Moore, which would have expanded parole eligibility for certain long-serving offenders convicted before July 2, 1973 by removing language limiting eligibility to those who had pleaded guilty, generated extensive debate. Supporters argued the bill would only allow elderly prisoners to be considered by the parole board and would not guarantee release, while opponents, including district attorneys and the Department of Public Safety and Corrections, argued the 2022 law already covered those who pled guilty and that the bill would extend relief to people convicted at trial of serious violent crimes. After discussion, the motion to report HB 967 favorably failed on an 8-3 vote. The committee then heard HB 1107 by Rep. Melancon, a post-conviction procedure bill for capital cases involving claims of intellectual disability. The bill, as amended, raised the burden of proof to clear and convincing evidence, required expert reports and IQ information, applied Daubert-style reliability screening, and clarified that it only applies in death penalty cases. Supporters from the Attorney General’s office and district attorneys said the bill would create a clearer procedure and speed resolution of Atkins claims; opponents from disability-rights, criminal defense, and medical groups argued it would replace clinical standards with a rigid statutory definition, rely too heavily on a 75 IQ cutoff, and risk excluding people with genuine intellectual disabilities. Testimony continued through the end of the transcript, with no final committee vote shown on HB 1107.

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• /c><00:22:18.200> large-scale providers is having a large-scale providers is having a large-scale
• <00:24:38.880> where providers where providers where um<00:24:41.120> the<00:24:42.160>
• one which requires hospitals to provide one which requires hospitals to provide DOH<00:40:35.600
• <01:03:28.880> reasonable legislation and provide reasonable legislation and provide reasonable
• helpful if the AGs could provide helpful if the AGs could provide testimony<01:49:26.160> um<

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Um, there are many different providers.
• prov there are many different providers. prov there are many different providers.
• Thank you for the opportunity to provide testimony. Thank you.
• <00:45:40.480> access<00:45:40.800> to freedom by providing access to freedom by providing
• <00:49:50.319> for clarity, quote, except as provided for clarity, quote, except as provided

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.

Transcript Highlights:

• a significant number of, and have shown to be an excellent provider of those services.
• In my role, I educate health care providers about adoption.
• House Bill 216 would require healthcare providers to provide an itemized bill to patients.
• It's specific to this clause, but it's an acknowledgment to the provider. All right.
• Health care providers would be prohibited from: 1.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• Members of the committee, thank you for allowing me to provide testimony today on House Bill 2216.
• and then fail to provide the resources necessary to do that.
• Chair Kolkhorst, members, thank you for the opportunity to provide testimony today.
• And I want to provide an example of what that looks like.
• That's the layman's, non-doctor analysis of what I have seen and what people have provided.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• , and ICF/IID program providers.
• We have to provide health care for rural Texas.
• We have to provide health care for rural Texas.
• We would provide training on budgeting and provide support for home maintenance and housekeeping.
• We're going to provide services in the home.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• The bill would enhance VA's ability to provide timely and effective care and provide high-quality VA
• When we provide them, when they're awarded their benefit, we provide them notification that, you know
• Additionally, like every eight years, we will provide for a survivor who's under age 55, we will provide
• Like I said, our providers... Our providers are there on the front lines every day.
• We appreciate the committee's efforts to provide a compromise that provides necessary protections and

Bills: SB124, SB201, SB275, SB410, SB478, SB607, SB610, SB611, SB654, SB702, SB787, SB831, SB892

Keywords: Department of Veterans Affairs, disciplinary procedures, accountability, personnel actions, whistleblower protection, cancer, military, aircrew, veterans, health study, toxins, morbidity, mortality, service members, mental health, community care, accessibility, treatment programs, substance abuse, appointments

Summary: During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.