Transcript Highlights:

• And I see Shan Sonata, are you present on Zoom for Oahu HHSC providing comments?
• <01:16:45.520> Zoom<01:16:45.760> for<01:16:46.000> Oahu<01:16:46.960> HHSC
• you present on Zoom for Oahu HHSC you present on Zoom for Oahu HHSC providing<01:16:48.880> comments

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• It will also create the state... ...for the purpose of rural hospital finance at HHSC, which will serve
• Bill 18 will enhance the Medicaid reimbursement and re-registration for rural hospitals, directing HHSC

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

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

Transcript Highlights:

• This is a true cleanup bill for the HHSC Executive Council. Executive Council, and I move passage.
• Speaker and members, this bill updates HHSC reporting requirements by changing many reports from quarterly
• Agency (TEA), the Texas Workforce Commission (TWC), and the Health and Human Services Commission (HHSC

Bills: HB1535, HB 123, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB24, HJR138, HB3800, HB42, HB 129, HB677, HB668, HB2128, HB2038, HB2316, HB3686, HB2563, HB 1160, HB3883, HB2788, HB2663, HB3305, HB3474, HB 1105, HB3490, HB3597, HB 1295, HB3512, HB3783, HB2017, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4081, HB4783, HB4063, HB2783, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB4700, HB3560, HB3860, HB3146, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB632, HB2582, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB5032, HB2240, HB5180, HB3348, HB4668, HB4665, HB3395, HB3157, HB4395, HB4325, HB4386, HB4273, HB2760, HB2820, HB1828, HB1579, SB2349, SB1268, SB610, SB1577, SB1369, SB2032, SB2034, SB1057, SB1044, SB922, SB1759, SB1143, SB1506, SB1403, SB2361, SB870, SB372, SB72, SB1583, SB2314, SB1267, SB1273, SB765, SB552, HB2145, HJR112, HB1804, HJR110, HB 1194, HB1531, HB5008, HB3421, SCR27, HB5398, HB1407, HB426, HB1535, HB 123, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HCR98, HCR92, HCR126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• So that does not include DOE, HHSC. Thank you, members. Any other questions for Director Hashimoto?
• So that does not include uh<00:41:23.040> DOE,<00:41:24.000> HHSC.
• uh DOE, HHSC. uh DOE, HHSC. >> Okay. >> Okay. >> Okay.

Keywords: 912, senate, all

Summary: The committees heard testimony on several personnel and employment bills. SB 2119 would require the state or counties to reimburse public officers and employees for approved work-related travel costs within 30 days; testifiers from the State Procurement Office, UPW, HGA, the University of Hawaii Professional Assembly, and others supported the measure, citing delayed reimbursements. SB 3131 would update state position titles by changing “private secretary” to “executive assistant” and “secretary” to “administrative assistant” where applicable, and it drew support from DEED and comments from the State Librarian. SB 3069 would permanently exempt a limited number of specialized positions in DAGS Public Works and the Comptroller’s office from civil service; DAGS, HCDA, and DEED supported it, while UPW opposed it. Committee members questioned whether the exemption should be narrower and whether the positions should be consultants or actual employees, and DAGS said the roles were narrowly tailored, highly specialized, and intended to help manage complex projects such as Aloha Stadium, the convention center, and other major redevelopment work. The committee then heard SB 3180, which would repeal the limit on temporary employment in a single position for two 89-day terms. Testimony included support from the Procurement Office, DOE, DHRD, the State Librarian in opposition, UPW written comments, HGA, the Grassroots Institute of Hawaii, and others. Discussion focused on whether the bill was needed to address abuse of repeated 89-day hires and whether it would affect recruitment and career pathways. Finally, SB 2137 would allow departments, divisions, and agencies to assume hiring and recruitment functions from DHRD under certain conditions. DHRD opposed the bill, saying existing law already allows delegation and that agency-level recruitment often lacks the expertise and staffing to do the work; UHPA supported it, and UPW submitted written support. In questioning, DHRD said it had reduced backlog and was now current on screening, while also offering programs like Operation Hire Hawaii for faster agency-led recruitment.

Transcript Highlights:

• While CCRCs are licensed by HHSC to provide care, CCRCs are regulated by the Department of Insurance

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• He said HHSC. We get $6.8 million and 80 FTEs for the call center—22,000 calls a day.
• HHSC gets $94 million and they have 432 full-time FTEs.
• We've had many meetings with CPS, we've had it with HHSC.
• We've had many meetings with CPS, we've had it with HHSC.
• The remaining costs are covered by VOCA and HHSC domestic violence funding.

Bills: SB1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools. Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees. DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.

Transcript Highlights:

• The penalty may only be collected by HHSC when written notice is provided, and the funds can only be
• Lastly, the bill requires a written report to be submitted quarterly to the legislature by HHSC.

Bills: HJR1, HB9, HB21, HB26, HB30, HB37, HB116, HB630, HB879, HB913, HB1151, HB1318, HB1593, HB1899, HB2703, HB2809, HB2890, HB2970, HB3307, HB3526, HB5092, SB128, SB203, SB317, SB393, SB397, SB644, SB731, SB801, SB913, SB1071, SB1073, SB1086, SB1087, SB1232, SB1250, SB1262, SB1285, SB1310, SB1359, SB1444, SB1483, SB1705, SB1782, SB1861, SB1897, SB1944, SB2023, SB2043, SB2082, SB2133, SB2215, SB2297, SB2298, SB2309, SB2532, SB2549, SB2566, SB2617, SB2619, SB2639, SB2688, SB2696, SB2717, SB2790, SB2841, SB2847, SB2850, SB2857, SB2891, SB2919, SB2928, SB2972, SB3052, SB3053, SB1, SB260, SB1506, SB1637, HB37, HB109, HB334, HB1130, HB1238, HB1327, HB1610, HB1615, HB1620, HB1689, HB2081, HB2809, HB2884, HB2890, HB4215, HB5092, HCR7, HCR75, HCR86, HCR92, HCR93, HCR126, SB644, SB1086, SB1230, SB1310, SB1361, SB1553, SB1778, SB1790, SB2344, SB2460, SB2515, SB2600, SB2747, SB2751, SB2785, SB2790, SB3047, SB3048, SB3050, SB3051, SB3052, SB3053, SB3056, SB3058, SB3061, HJR1, HB1130, HB1689, HB2884, HB1393, HB2559, HB26, HB3012, HB1327, HB109, HB1238, HB2890, HB9, HB4215, HB2970, HB37, HB1899, HB1593, HB2607, HB3526, HB3810, HB5092, HB388, HB2809, HB1151, HB913, HB3307, HB879, HB116, HB12, HB2703, HB1610, HB1615, HB1620, HB30, HB21, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HCR7, HCR75, HCR86, HCR92, HCR93, HCR126, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB1310, SB2972, SB1073, SB2847, SB2532, SB2619, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1359, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1285, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB2460, SB867, SB640, SB1698, SB2680, SB2994, SB2747, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB2043, SB1367, SB2857, SB128, SB3058, SB2044, SB2363, SB2565, SB1888, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3050, SB3063, SB3035, SB1790, SB1778, SB203, SB3061, SB2799, SB2790, SB2688, SB2515, SB1230, SB2522, SB2639, SB2459, SB3051, SB2655, SB2251, SB1884, SB2617, SB2751, SB2928, SB2566, SB1897, SB1749, SB1361, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB644, SB1232, SB2850, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HCR90, SJR87, SB2969, SB3073, SB2497, SB1798, SB2603, SB2607, SB781

Keywords: constitutional amendment, property tax, ad valorem tax, tax exemption, tangible personal property, income-producing property, business personal property, equipment exemption, machinery, local government finance, school district revenue, county taxes, Texas Constitution, Article VIII, tax relief, commercial property, appraisal district, chief appraiser, rendition statement, property tax relief

Transcript Highlights:

• However, because some municipalities have not adopted their particular HHSC standards They're not required
• to report that information to HHSC, which results in our state not having enough information about their

Bills: HCR35, SJR59, SJR84, SCR30, SB127, SB317, SB324, SB457, SB506, SB511, SB529, SB547, SB584, SB619, SB636, SB646, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB904, SB1026, SB1049, SB1065, SB1181, SB1224, SB1250, SB1383, SB1467, SB1524, SB1528, SB1531, SB1568, SB1585, SB1640, SB1681, SB1754, SB1757, SB1777, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2055, SB2069, SB2080, SB2119, SB2138, SB2139, SB2154, SB2201, SB2225, SB2268, SB2306, SB2308, SB2310, SB2330, SB2366, SB2375, SB2392, SB2401, SB2422, SB2480, SB2514, SB2530, SB2533, SB2543, SB2544, SB2589, SB2610, SB2615, SB2623, SB2660, SB2662, SB2693, SB2695, SB2707, SB2722, SB2742, SB2753, SB2807, SB2843, SB2844, SB2858, SB2880, SB2885, SB2891, SB2925, SB2938, SB2986, SJR3, SJR18, SB5, SB914, SB963, SB1197, SB1415, SB1437, SB1786, SB326, SB767, SB769, SB783, SB1035, SB1271, SB1619, SB1637, SB1806, SB1, SB260, HB135, HB1109, HCR35, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB619, SB2742, SB646, SB1026, SB2880, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB584, SB1085, SB2046, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB2366, SB1013, SB2797, SB2383, SB1754, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2929, SB1972, SB2540, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB506, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB410, SB659, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, 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, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, HB1392, HB22, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865

Keywords: spaceports, tax-exempt bonds, aerospace investment, Texas space economy, Federal legislation, education funding, Texas State Technical College System, capital projects, infrastructure, higher education, tax exemption, property tax, homestead, fire damage, constitutional amendment, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• TEA and HHSC, or excuse me, yeah, HHSC need to get together, provide the information. to the schools,

Bills: HB29, HB 125, HB145, HB171, HB255, HB50, HB796, HB363, HB 116, HB491, HB589, HB1495, HB368, HB 1285, HB1905, HB1360, HB2002, HB917, HB2723, HB2067, HB 1238, HB2337, HB745, HB 1188, HB1606, HB2003, HB2147, HB2391, HB2355, HB2546, HB2495, HB2818, HB2249, HB1749, HB3109, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2001, HB2798, HB 107, HCR29, SB5, SB262, HB 11, HJR72, HB 106, HB18, HB48, HB27, HB37, HB1481, HB581, HB1696, HB2216, HB 1035, HB1633, HB742, HB754, HB1689, HB1690, HB2669, HB391, HB517, HB 1024, HB1607, HB252, HB1716, HB1562, HB4116, HB1866, HB1741, HB2103, HB2637, HB2884, HB503, HB 1089, HB2986, HB972, HB502, HB29, HB 125, HB145, HB171, HB255, HB50, HB796, HB363, HB 116, HB491, HB589, HB1495, HB368, HB 1285, HB1905, HB1360, HB2002, HB917, HB2723, HB2067, HB 1238, HB2337, HB745, HB 1188, HB1606, HB2003, HB2147, HB2391, HB2355, HB2546, HB2495, HB2818, HB2249, HB1749, HB3109, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2001, HB2798, HB 107, HCR29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• outside support and updates based on best practices research by the Texas School Safety Center and HHSC

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• So we're working with HHSC to be able to train their workers that you know if we apply for child only

Bills: SB387, SB1650, SB1838, SB1839, SB1923, SB1940, SB2052

Keywords: judicial bond, guardianship, probate law, county judge, statutory county court, attorney general, criminal prosecution, public order, law enforcement, jurisdiction, attorney ad litem, parent-child relationship, compensation, legal representation, government entity, probate, court proceedings, record delivery, wills, legal documentation

Transcript Highlights:

• introduce myself for the beginning so let me do that real quick. would chief financial officer for HHSC

Bills: SB825

Keywords: illegal immigration, economic impact, environmental impact, financial impact, annual study, Texas, government report, 1185, senate, all

Transcript Highlights:

• I want to thank HHSC and DFPS for all their work on making the changes so far and on the changes about
• HB109 allows HHSC to use vacant space for children without placement. I move passage.
• House Bill 1114 by Chairman Cortez. because that bill transfers veteran mental health initiatives from HHSC
• As a result, this amendment removes the requirement that HHSC consult with TVC on this study.

Bills: HB1500, HJR7, HJR112, HB34, HB133, HB 112, HB 119, HB 128, HB 130, HB132, HB2756, HB166, HB406, HB186, HB271, HB331, HB380, HB1583, HB1584, HB1819, HB621, HB303, HB552, HB366, HB463, HB 1211, HB1327, HB1461, HB923, HB1760, HB2043, HB2467, HB5333, HB5265, HB1592, HB1576, HB1552, HB2018, HB3511, HB1781, HB2013, HB2340, HB2349, HB2508, HB2970, HB2520, HB865, HB2851, HB3385, HB3336, HB3529, HB3309, HB 1127, HB 1232, HB1397, HB4236, HB1804, HB1926, HB4041, HB1965, HB1964, HB2679, HB2730, HB3698, HB3699, HCR77, HB3354, HB163, HB201, HB272, HB333, HB405, HB519, HB569, HB654, HB694, HB791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB1437, HB1532, HB1675, HB1842, HB1868, HB1888, HB1894, HB1943, HB1990, HB2029, HB2061, HB2286, HB2523, HB2622, HB2626, HB2652, HB2692, HB2842, HB2885, HB2914, HB3016, HB3096, HB3129, HB3248, HB3251, HB3255, HB3479, HB3611, HB3623, HB3701, HB3724, HB3803, HB3804, HB3805, HB3806, HB3810, HB3816, HB3832, HB3887, HB4127, HB4129, HB4130, HB4131, HB4163, HB4187, HB4229, HB4238, HB4454, HB4588, HB4643, HB4736, HB4738, HB4739, HB4945, HB5015, HB5616, SB767, SB1619, SB1738, HJR5, HJR2, HB1399, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1672, HB1722, HB2618, HB879, HB 1126, HB4134, HB3513, HB1445, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3516, HB4145, HB1585, HB4810, HB2558, HB2742, HB1695, HB33, HB144, HB 109, HB 103, HB148, HB3809, HB2217, HB220, HB2421, HB2363, HB421, HB2455, HB3711, HB2559, HB2775, HB3126, HB3666, HB3595, HB3260, HB3376, HB3826, HB3770, HB1831, HB2614, HB3113, HB322, HB431, HB869, HB 1203, HB 1244, HB1875, HB1950, HB2152, HB2341, HB2809, HB2856, HB3012, SB1415, SB1058, SB487, SB1499, SB513, SB1697, SB1197, SB1437, SB1809, SB836, SB1879, SB1145, SB963, SB1038, SB1147, SB914, SB711, SB1409, HB3707, HB589, HB1360, HB2337, HB2391, HB718, HB23, HB2436, HB1500, HJR7, HJR112, HB34, HB133, HB 112, HB 119, HB 128, HB 130, HB132, HB2756, HB166, HB406, HB186, HB271, HB331, HB380, HB1583, HB1584, HB1819, HB621, HB303, HB552, HB366, HB463, HB 1211, HB1327, HB1461, HB923, HB1760, HB2043, HB2467, HB5333, HB5265, HB1592, HB1576, HB1552, HB2018, HB3511, HB1781, HB2013, HB2340, HB2349, HB2508, HB2970, HB2520, HB865, HB2851, HB3385, HB3336, HB3529, HB3309, HB 1127, HB 1232, HB1397, HB4236, HB1804, HB1926, HB4041, HB1965, HB1964, HB2679, HB2730, HB3698, HB3699, HB3354, HB163, HB201, HB272, HB333, HB405, HB519, HB569, HB654, HB694, HB791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB1437, HB1532, HB1675, HB1842, HB1868, HB1888, HB1894, HB1943, HB1990, HB2029, HB2061, HB2286, HB2523, HB2622, HB2626, HB2652, HB2692, HB2842, HB2885, HB2914, HB3016, HB3096, HB3129, HB3248, HB3251, HB3255, HB3479, HB3611, HB3623, HB3701, HB3724, HB3803, HB3804, HB3805, HB3806, HB3810, HB3816, HB3832, HB3887, HB4127, HB4129, HB4130, HB4131, HB4163, HB4187, HB4229, HB4238, HB4454, HB4588, HB4643, HB4736, HB4738, HB4739, HB4945, HB5015, HB5616, SB767, SB1619, SB1738, HCR77

Keywords: Information Resources, Department governance, cybersecurity, state assistance, procurement training, technology resources, advisory committees, water fund, Texas water supply, constitutional amendment, state revenue, infrastructure, parental rights, child upbringing, government interference, Texas legislation, science park district, economic development, technology innovation, higher education collaboration

Transcript Highlights:

• It will also create the State Office of Rural Hospital Finance at HHSC, which will serve as a central
• It directs HHSC to reimburse rural hospitals based on their average cost of providing service, updated

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.

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• In working with HHSC, I'm offering this amendment to do two things: first, clarify the facilities that
• In calculating the fiscal note, HHSC assumed that Committee Substitute for Senate Bill 331 included facilities

Summary: The Senate opened with an invocation by Pastor Jim Harris of Tilden Baptist Church, followed by remarks from Senator Zaffirini recognizing his service and retirement as an agricultural teacher. The chamber also received a message from the governor on appointments to the Coastal Water Authority Board of Directors. Senators then adopted SR 434 honoring Goodwill Industries of San Antonio’s 80th anniversary, with Senators Gutierrez, Menendez, and Zaffirini praising its workforce training and second-chance employment mission; SR 435 recognizing Dr. Christine Ramos Camacho as Doctor of the Day; and a group of additional resolutions adopted by voice vote. Senator Zaffirini also introduced the McMullen County Day delegation, and Senator Gutierrez introduced the Doctor of the Day. The Senate then took up and passed several bills. SB 1951 addressed penalties for late property rendition filings and removed a financial incentive for appraisal districts; SB 1261 related to financing water supply projects in the state water plan; SB 1620 created a Texas Forensic Analyst Apprenticeship Pilot Program; SB 530 updated higher-education accreditation rules; SB 2183 standardized fireworks sales periods statewide; SB 2368 strengthened the Lone Star Infrastructure Protection Act and added foreign-affiliation safeguards for electricity market participants; SB 1398 limited children without placement (CWOP) practices and added community-based care transparency; and SB 1960 established digital replication rights for voice and visual likenesses. Each of these bills advanced through suspension of the regular order, passage to engrossment, suspension of the three-day rule, and final passage, with recorded votes generally showing strong support and some opposition on a few measures. The chamber also debated SB 825, which would require an annual study of the economic, environmental, and financial impacts of illegal immigration. Senators Middleton, Hinojosa, Gutierrez, and Eckhardt debated whether the study should include positive as well as negative impacts; an amendment to require that broader analysis failed, and the bill was left pending after passage to engrossment. Other measures passed included SB 2010, prohibiting political subdivisions from operating guaranteed income programs; SB 546, requiring reporting and continued implementation of school bus seat belts; SB 586, establishing the Historical Texas Cemetery designation program; SB 1150, requiring inactive oil and gas wells to be plugged or returned to production under a compliance plan; SB 1184, lowering the minimum age of wine eligible for sale by wine collection sellers; SB 2185, clarifying bilingual education allotment funding; SB 1923, making child support follow the child in certain temporary placements; SB 2252, expanding early literacy and numeracy supports and screening tools; SB 1870, barring local decriminalization of drugs; and SB 2405, the major TDCJ sunset bill, which included facility planning, parole and rehabilitation reforms, and an amendment protecting parole board discretion. Most of these bills were adopted after floor amendments and passed with recorded votes, often along party-line or near-party-line divisions.

Transcript Highlights:

• oversees the early childhood education programs, TWC oversees the The Child Care Service Programs and HHSC
• This bill seeks to remove those barriers. barriers by bringing TEA, TWC, and HHSC together so that agencies

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• HB 4120 seeks to build on what we did last year by directing TDCJ to work with HHSC to assist in the

Bills: HB153, HB1828, HB2306, HB2498, HB3464, HB3488, HB3636, HB3673, HB3834, HB3860, HB4120, HB4937, HB1515, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, legislative leave, correctional officers, Texas Department of Criminal Justice, accumulated leave, compensatory time, parole eligibility