Transcript Highlights:

• Rare diseases significantly impact patients and their families.
• And for so many rare disease patients, it isn't necessarily about taking the thing that causes them to
• I'm proud to rise today to introduce the people behind ACR 132, Rare Disease Day: the patient advocates
• I'm proud to rise today to introduce the people behind ACR 132, Rare Disease Day: the patient advocates
• Chaukley, Suzette James, Catherine Ames with Fierce Hope Patient Advocacy, Liz Helms with California

Summary: The Assembly met with a quorum call at the start, then proceeded with Black History Month observances, including a libation ceremony, the Pledge of Allegiance, and remarks emphasizing remembrance, ancestry, and the importance of honoring Black history. The chamber also handled routine procedural matters, including dispensing with the journal, re-referring certain Senate budget items to the Budget Committee, and allowing guest introductions and other unanimous-consent requests. The main floor action was on Assembly Concurrent Resolution 134, recognizing Black History Month. Members from multiple caucuses spoke in support, highlighting the historical contributions of Black Americans, the ongoing effects of slavery and segregation, the need to protect voting rights and education, and the importance of solidarity across communities. The resolution was adopted by voice vote after 74 co-authors were added. The Assembly also adopted Assembly Concurrent Resolution 132, declaring February 28 as Rare Disease Day. Members shared personal stories about ALS and other rare diseases, described barriers to diagnosis, treatment, and insurance coverage, and called for more research and support. The resolution received broad bipartisan support, with 71 co-authors added before adoption by voice vote. The chamber then recognized a series of Black History Month Unsung Heroes honorees, including community leaders, health professionals, advocates, and public servants, and later heard additional guest introductions. The meeting concluded with adjournments in memory of Peyton Trilling and John Jackson, followed by announcements and adjournment until February 26 at 9 a.m.

Transcript Highlights:

• I'll be there this afternoon seeing 15 to 16 patients tonight.
• </c><00:53:44.400><c> for</c> being used to check in patients for being used to check in patients for
• or too many to have many patients or too many patients<00:58:20.599><c> um</c><00:58:21.520><c> also
• It becomes computer care instead of patient care.
• It becomes computer care instead of patient care.

Committee: Senate Labor

Transcript Highlights:

• Lines 42 through 45 of the substitute on page three specify that the recovery by a patient is limited
• The substitute specifies that the recovery by a patient is limited against the personal income or assets
• I think it helps patients. I think it helps providers. I think it helps institutions.
• I can tell you, physicians and nursing homes want access to health care for their patients.
• This is for patients, families, people who have suffered.

Committee: House Courts of Justice

Transcript Highlights:

• as robust as they are in a full lab that can do culture and sensitivity, do a full history on the patient
• , some different patient assessment things.
• next page, on page 11, line 12, we originally had asked for cholesterol-lowering medications in a patient
• you know, that we want to make sure that whatever substitution is being done either benefits the patient
• The expanded scope maintains patient safety through clear protocols and standards of care.

Bills: SB2401 , SB2402 , SB2403 , SB2404

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Transcript Highlights:

• of manipulation, patient steering, and it's just one example.
• Each day, it seems we spend more time explaining to patients...
• patients actually picking up medications from our pharmacy.
• We've absorbed a lot of those patients, and sometimes I have to turn patients away because I can't afford
• Colin Meisner, as a resident and patient, in support.

Summary: The committee heard testimony on several bills, beginning with SB 41 by Senator Wiener, which would regulate pharmacy benefit managers by increasing transparency, banning patient steering and spread pricing, and requiring full pass-through of rebates. Supporters, including independent pharmacists and health advocates, said PBM practices are driving up drug costs and closing neighborhood pharmacies. Opponents from PBM and health plan groups argued the bill overlaps with recently enacted licensing and reporting requirements, would not lower consumer prices, and may be preempted by ERISA. Members discussed confidentiality issues, consumer savings, and the relationship between SB 41 and the new budget trailer bill; the author asked for an aye vote. The committee then took up SB 378, also by Senator Wiener, aimed at online marketplaces that advertise illegal intoxicating hemp and unlicensed cannabis products. Supporters from labor, public health, and the licensed cannabis industry said online sales are undermining regulated businesses and exposing children to unsafe products. Opponents from tech and hemp industry groups warned the bill is overbroad, could sweep in general-purpose platforms and lawful hemp wellness products, and raises Dormant Commerce Clause and First Amendment concerns. The author said he would narrow the bill, remove industrial hemp references, and address strict liability and standing issues; members largely focused on how to target illegal products without capturing lawful marketplaces. SB 243 by Senator Padilla addressed AI companion chatbots, with supporters including Common Sense Media and transparency advocates warning that these systems can be addictive, manipulative, and dangerous for minors and vulnerable users, citing studies and the death of a Florida teenager. The bill would require disclosures, anti-addiction design limits, self-harm protocols, audits, reporting, and a private right of action. Tech and business groups opposed the measure as overly broad and said its definitions could sweep in general-purpose AI tools; several members supported the goal but questioned the breadth of the definitions and the private right of action. Finally, SB 522 by Senator Wahab would extend just-cause eviction protections to rental units that were previously covered by the Tenant Protection Act but were destroyed in disasters and later rebuilt. Supporters, including Los Angeles city officials and tenant advocates, said the bill would help keep displaced renters housed after wildfires and other disasters. Apartment and realtor groups opposed it, arguing it would remove a key exemption needed to finance rebuilding and could discourage post-disaster reconstruction. Members expressed support for tenant protections in disaster areas, and the author asked for an aye vote.

Transcript Highlights:

• </c> which many patients cannot access. which many patients cannot access.
• </c> details about the actual patient. details about the actual patient.
• I'm also a pain patient myself.
• </c> what the patient says right there. what the patient says right there.
• . patient. patient.

Committee: Senate Health and Human Services

Transcript Highlights:

• There will be incredible benefits to patients.
• The easiest example is a patient who's been diagnosed with type 2 diabetes.
• , what's been diagnosed in a patient, and what that present manifests...
• I think I saw Assembly Member Papin here being very patient in the front row.
• All right, Assembly Member Pacheco, you've been very patient.

Committee: Senate Insurance

Transcript Highlights:

• If a patient can drive 90 minutes, then they can get it done in three weeks, but many of my elderly patients
• And so if you actually look at all of the data of patients getting care, patients in those states are
• that my patients are experiencing.
• And so if you actually look at all of the data of patients getting care, patients in those states are
• that my patients are experiencing.

Summary: The committee first continued the public hearing on House Bill 2897, which would expand optometrists’ authority to perform certain office-based procedures. Supporters, including an optometrist from rural Missouri, argued the bill would improve access to care in counties without resident ophthalmologists, reduce wait times and travel burdens, and better align scope of practice with optometry training. Opponents, including representatives of osteopathic physicians, raised concerns about patient safety, the lack of live-human-eye training in Missouri, and whether the bill would actually direct services to rural areas. The hearing then closed on HB 2897 without a vote. The committee next heard House Bill 2353 on interior designers’ licensure and sign-and-seal authority. The sponsor and supporters said the bill modernizes the profession, moves oversight under the state’s architecture/engineering board, and would let licensed interior designers stamp their own non-structural work after education, testing, and experience requirements. Supporters emphasized workforce retention, consumer savings, and that interior designers are trained in fire/life safety, ADA, and code compliance. Opponents from engineering groups said they were still negotiating language but objected to provisions that could be read to require interior designers for broad categories of buildings or blur boundaries with architecture and engineering; they asked for clearer scope language and continued collaboration. No final action was taken. Finally, the committee heard House Bill 2241, which would create a framework for certain faith-based residential child care facilities to operate outside the standard foster care licensing system under a new oversight board. The sponsor said the bill is intended to address a shortage of foster placements while allowing Christian homes to maintain their religious mission, with background checks, inspections, and reporting still required. Supporters from Christian child care agencies said the bill would preserve religious freedom and expand placement capacity. Opponents, including child advocacy and child abuse prevention groups and several legislators, argued the proposal would create a separate, less accountable system for vulnerable children, weaken state oversight, and risk repeating past abuse scandals; they said existing licensing rules already allow faith-based providers to participate. The discussion was extensive, but no vote was taken in the portion provided.

Transcript Highlights:

• A long story short, it will disallow EMS service providers to send a patient a bill for if I'll just
• ,</c><00:24:19.919><c> they</c><00:24:20.159><c> can,</c> If it's a low acuity patient, they can, If
• it's a low acuity patient, they can, and<00:24:20.480><c> forgive</c><00:24:20.720><c> me,</c><00:24:
• </c> patients to the emergency department. patients to the emergency department.
• a bill for if I'll to send a patient a bill for if I'll just<00:25:32.720><c> give</c><00:25:32.799>

Bills: SB294 , HB296 , HB300 , SB269

Committee: Senate Banking and Insurance

Keywords: public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks

Transcript Highlights:

• I just ask that we protect competition, preserve patient choice, and ensure that independent pharmacies
• </c> here today out of concern for patient here today out of concern for patient access<00:23:37.200>
• </c> already done to protecties and patients. already done to protecties and patients.
• </c> fairness for pharmacies and patients. fairness for pharmacies and patients.
• </c> significantly increases cost to patients significantly increases cost to patients and<00:25:21.840

Bills: HB55 , SB15 , SB247 , HB55 , SB15 , SB247

Committee: House Financial Services

Keywords: fishing, licensing, jubilee, Marine life, Alabama, regulations, sex offenders, employment restrictions, first responders, public safety, juvenile offenders, local laws, registration requirements, picketing, protesting, residential protest, noise amplification, amplified sound, residential picketing, harassment

Transcript Highlights:

• </c><01:43:00.960><c> admitted</c> Hospital you have a patient admitted Hospital you have a patient admitted
• 03.360><c> and</c><01:43:03.480><c> out</c> patient who's becoming violent and out patient who's becoming
• So, we wouldn't be erasing for patients.
• Some of these patients provider harm.
• </c> &gt;&gt; to the the patient or the providers. &gt;&gt; to the the patient or the providers.

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

• It's illegal to abandon a patient.
• because the patients... failure to adhere to his, to the doctor's standards of morality.
• And in that circumstance, does the patient have the right to explicitly choose?
• If the patient, the pregnant patient, is like... to become unconscious at some point. a DNR that instructs
• Patients they haven't consented to? Certainly is.

Bills: SJR59 , SCR30 , SCR46 , SB31 , SB127 , SB324 , SB401 , SB407 , SB467 , SB482 , SB506 , SB529 , SB584 , SB619 , SB636 , SB646 , SB647 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB816 , SB1013 , SB1026 , SB1049 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1383 , SB1395 , SB1410 , SB1433 , SB1524 , SB1531 , SB1568 , SB1640 , SB1666 , SB1681 , SB1718 , SB1754 , SB1757 , SB1972 , SB1980 , SB2004 , SB2007 , SB2041 , SB2046 , SB2050 , SB2075 , SB2076 , SB2154 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2306 , SB2308 , SB2314 , SB2322 , SB2330 , SB2351 , SB2366 , SB2371 , SB2392 , SB2398 , SB2476 , SB2533 , SB2540 , SB2544 , SB2589 , SB2610 , SB2623 , SB2660 , SB2662 , SB2693 , SB2707 , SB2717 , SB2722 , SB2742 , SB2753 , SB2779 , SB2807 , SB2843 , SB2844 , SB2858 , SB2877 , SB2880 , SB2885 , SB2920 , SB2938 , SB2986 , HJR4 , HCR35 , SJR3 , SJR18 , SB5 , SB260 , SB1786 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB1433 , SB2322 , SB2877 , SB407 , SB1718 , SB1395 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB2253 , SB584 , SB1085 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1410 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB647 , SB1721 , SB2268 , SB2366 , SB1013 , SB2797 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB2779 , SB2004 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HJR4 , HB135 , HB 1109 , HCR35 , HCR64 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586

Transcript Highlights:

• That's a big step and will be a big helper for these patients. So this is where we started.
• So ultimately, if you're a patient anywhere and you go anywhere with... ...and providers.
• Remote patient monitoring... ...that EMR and then one that'll be by itself.
• Remote patient monitoring, electronic caregivers, kiosks, and facilitated video visits.
• This includes adding a second window in the patient room, fitting up the northwest and southwest patient

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• that medical providers have access to technology to protect sensitive medical information so that patients
• Planned Parenthood Health Centers strongly believe that patients deserve access to health care without
• AB 2448 supports efforts currently underway to better coordinate patient care and protect patient confidentiality
• . ...currently underway to better coordinate patient care and protect patient confidentiality at the
• Increasing hostilities and threats nationwide against providers and patients of reproductive care have

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:

• And I can guarantee you that if these cuts go through, some of my patients are going to die.
• It distributes hot and cold water to our patients, which supports around 13,400 patients on a daily basis
• It distributes hot and cold water to our patients that supports around 13,400 patients on a daily basis
• No, patients are not anticipated to be displaced during the construction phase.
• There's trailer bill language to ...with not guilty by reason of insanity patients.

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• We are seeing ICE agents accompanying patients into hospitals.
• We are seeing ICE agents accompanying patients into hospital.
• Every day they care for our seniors, our neighbors with disabilities, and patients.
• When workers are afraid, patients feel it.
• Sorry about that; you’ve been very patient.

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The committee held a public hearing on several public safety bills, with testimony first on S.2681, Colby’s Law, which would establish safety standards for BMX and motocross tracks. Supporters, including the family of a child killed at a track, argued the bill is needed because some tracks lack basic protections such as barriers, emergency plans, on-site medical staff, and adequate track maintenance. A motocross track representative opposed the bill as overregulation that could impose major costs and argued existing safety efforts and voluntary safety committees are preferable. No vote was taken during the hearing. The committee also heard testimony on S.2680, which would expand emergency preparedness requirements around aging nuclear power plants and nuclear waste sites from a 10-mile to a 50-mile radius. Supporters from Cape Cod Downwinders, Massachusetts Peace Action, physicians, and other advocates said current law is outdated and insufficient, citing risks from radioactive waste storage, limited federal oversight, and the need for broader evacuation and emergency planning. Testifiers urged the bill’s passage, and no action was taken. A major portion of the hearing focused on the Protect Act, H.5158, dealing with limits on cooperation between state/local agencies and federal civil immigration enforcement. Sheriffs testified about how ICE detainers and notification requests work in practice, emphasizing discretion, public safety, and the difference between sentenced prisoners and pretrial detainees. Supporters from labor, education, and health care groups said immigrant communities are living in fear and asked for stronger protections, including bans on 287(g) agreements and clearer limits on ICE activity in schools, hospitals, and other sensitive locations. The hearing also included testimony on H.4697 regarding training and certification of constables and civil deputy sheriffs, with the Hampshire County sheriff saying sheriffs are already working with POST and MPTC on training standards and that the bill may be duplicative.

Transcript Highlights:

• Now we need elbow room between patients. We can't have them filling every room in the hospital.
• Now we need elbow room between<00:04:50.240><c> patients.
• We can't have them between patients.
• that are uh sitting in these uh patients that are uh sitting in detention<00:10:41.360><c> centers</
• Um that those inmate, that patient.

Bills: SF0010 , SF0005

Committee: House Labor, Health & Social Services

Transcript Highlights:

• Johnson, talking about how that actually also impacts what happens to the patients themselves.
• Patients with eating disorders are also an alarmingly common part of my practice.
• Texas patients right here in Texas.
• HB 296, and if passed, what it can do for Texas patients state.
• . patients in high-stake environments.

Bills: HB713 , HB827 , HB932 , HB499 , HB510 , HB163 , HB296 , HB879 , HB913 , HB163 , HB296

Committee: House Public Health

Transcript Highlights:

• I come before you today to remove the sunset on what was Senate Bill 317, which was part of the patient
• the sheer size and influence involved in cases related to the surfing and turfing of disability patients
• So, if the goal of this bill or amendment is to really preserve patient choice, I wouldn't change the
• They also redefined recipient to mean patient, and it permits donations from individuals from out of
• Of the expensive, no, 1 to. 2% of patients are unresponsive or have complications to the statins and

Committee: House House Health & Human Services

Transcript Highlights:

• </c> unconscious or anesthetized patient unconscious or anesthetized patient without<01:42:42.960><c>
• </c><01:42:55.840><c> is</c> obtained um if the patient is obtained um if the patient is unconscious<
• under anesthesia or unconscious patients under anesthesia or unconscious patients<01:43:11.239><c> should
• , requiring patients to give explicit informed consent prior to these educational exams.
• </c> for people doing bad things to patients for people doing bad things to patients this<01:50:15.400

Committee: Senate Health and Human Services