Transcript Highlights:

• It's a safe harbor from that regulation.
• It's a safe harbor from that regulation.
• It's a safe harbor from that regulation.
• It's something that can be done outside of regulation.
• You can do that today outside of regulation.

Bills: S0266, S0394, S0540, S0632, S0642, S0832, S0834, S1028

Keywords: public adjuster, contract cancellation, state of emergency, vulnerable adults, disciplinary actions, financial regulation, information security, financial exploitation, licensing, transportation, insurance, TNC, ride-sharing, automobile liability, bail bond, insurance regulation, foreign insurers, financial disclosure, premium reporting, residential property insurance

Summary: The Committee on Banking and Insurance met with a quorum and took up several bills, beginning with SB 834 on insurance requirements for nonprofit religious organizations and health care sharing ministries. The bill repeals a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing fraud and disclosure protections; opponents said allowing agents and brokers could create consumer confusion and has been associated with bad actors. A title amendment was adopted, and after debate the committee reported the bill favorably. The committee also heard and passed SB 642, which extends reporting and duty requirements to foreign and alien bail bond insurers, and SB 394, a technical bill updating reinsurance intermediary manager law to match current DFS practice. SB 266, which lets vulnerable adults rescind public adjuster contracts without penalty, was reported favorably after testimony from supporters in the insurance and elder law communities and a public adjuster who said the intent was good but the bill may need refinement. SB 832, a residential property insurance transparency bill requiring rate breakdown reports and a consumer resource center, also passed after discussion about consumer clarity and whether the required cost categories can be compiled as written. Later, the committee approved SB 540, which creates cybersecurity requirements for mortgage and money service businesses, closes a regulatory gap for certain investment advisers, adjusts OFR examination-payment deadlines, changes de novo charter requirements, allows virtual credit union meetings, and makes other financial regulation updates. Several amendments were adopted, including a substitute amendment removing fintech sandbox provisions. Finally, SB 1028 on Citizens Property Insurance Corporation was reported favorably after debate over a commercial lines clearinghouse intended to reduce Citizens’ exposure and shift more business to the private market; members discussed taxpayer risk, market competition, and consumer protections. The meeting ended with adjournment.

Bills: HB3334, HB4248, HB4454, HB3851

Keywords: alcohol regulation, retail, recordkeeping, reporting, state laws, HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation

Bills: HB3334, HB4248, HB4454, HB3851

Keywords: alcohol regulation, retail, recordkeeping, reporting, state laws, HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation

Summary: The Tobacco, Alcohol, and Controlled Substances committee met with a quorum and considered several bills related to alcohol distribution and hemp/THC products. House Bill 3334, presented by Rep. Hays, would create a limited retail on-supply alcohol act allowing on-premise licensees to buy alcohol beverages from off-premise licensees. Supporters said it could help rural businesses facing strained supply chains and delayed deliveries after alcohol market changes; the committee voted to pass the bill. The committee then heard House Bill 4248, which would add protections to keep children from ingesting alcoholic drinks containing hemp with THC-like effects. Members discussed whether the bill might be amended further, but the author said the goal was to protect kids and preserve the bill’s current structure. The committee voted to pass HB 4248. House Bill 4450, presented by Rep. Newton, would regulate THC gummies and liquids by requiring serving-size labeling, limiting servings to 10 milligrams of THC each, and prohibiting child-attractive shapes such as animals, cartoons, or human forms. Members raised concerns about vague language like “reasonable resemblance” and about color restrictions, and the author said he was willing to work on those provisions. The committee voted to pass the bill. Finally, the committee considered House Bill 3851, which Rep. Marti said concerns the process for selling and distributing private label products and clarifies the ABLE Commission’s interpretation of current law. An amendment deleting Sections 1 and 3 was adopted without objection, and the committee then voted to pass the bill as amended. The meeting ended with the chair noting it was the last meeting of the year and adjourning.

Transcript Highlights:

• So, Representative, would the ABC store be able to put regulations in effect if they didn't want this
• They will regulate what is sold and have advertising requirements and things.
• Well, I mean the more we put into the law, the more Law, the more regulation, more bureaucracy that we
• It's not under the insurance department, it's not regulated as that, that you could drop somebody.
• Um, we've got more regulations in this bill.

Bills: HB445, HB477, SB274, HB441

Keywords: hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax, excise tax, age verification, underage sales, product testing, certificate of analysis

Transcript Highlights:

• Again, we regulate cannabis dispensaries more strictly than guns.
• Do not destroy local businesses with excessive and unclear regulations.
• We are regulated by federal regulations; thus, the reason our FFL is a federal firearms license and not
• New Mexico regulates liquor stores and cannabis shops.
• Magazine regulations under the federal Constitution.

Bills: SB38, SB17, SB41, SB264

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, gun control, firearm safety, dealer regulation, illegal trade, background checks, sexual crimes, statute of limitations

Summary: The committee first heard Senate Bill 38, which would make permanent the New Mexico affordable spay-neuter program funded by fees on registered pet food. The sponsor and supporters said the program helps reduce companion animal overpopulation, shelter intake, and euthanasia, while opponents argued the charge is an unlawful tax, is tied to ongoing litigation, and that required annual reporting has not been done. After public testimony, the committee adopted a due pass motion on SB 38 by a 10-1 vote. The committee then took up Senate Bill 17, a gun-safety measure that would impose new requirements on firearms dealers and prohibit future sale of certain assault-style and high-capacity weapons. Supporters, including sponsors, gun-violence survivors, public safety advocates, and some local officials, argued the bill would address straw purchasing, trafficking, dealer accountability, and mass-casualty weapons. Opponents, including firearms retailers, ranchers, law enforcement, and gun owners, said the bill would burden lawful businesses, raise constitutional concerns, and do little to stop crime. After extensive testimony and questions about the bill’s legal basis, definitions, and dealer regulations, the committee did not vote and instead rolled the bill for further work on amendments. Later, the committee heard Senate Bill 41, as amended, which would eliminate the statute of limitations for second-degree criminal sexual contact of a minor. Support came from the Chamber of Commerce and sexual assault advocacy groups, who said delayed disclosure is common and justice should not expire before survivors are ready to come forward. Committee members asked detailed questions about the bill’s scope, including why certain offenses remained covered and how the criminal statutes are categorized. The committee adopted an amendment to correct drafting issues and then passed SB 41 as amended on a 10-0 vote. Finally, the committee began hearing Senate Bill 264, an elections safety bill that would strengthen penalties for election interference, create emergency polling-place protocols, and clarify when law enforcement may be present at polling places at the request of election officials. Supporters said it was needed to protect voters from intimidation, while an opponent argued it could put law enforcement at risk and restrict their ability to vote. The sponsor and Secretary of State explained that the bill was aimed at preventing ordered deployment of armed personnel to polling places, not barring officers or service members from voting. The discussion was still underway when the transcript ended.

Transcript Highlights:

• We know that nursing staff is a huge, huge part of making the entire system work better.
• We know that nursing staff ratios improve patient outcomes.
• Insurance companies are horribly regulated in this country—horribly regulated.
• , because doctors and nurses want to live in a city.
• Number two, the trend, I think, among lawyers is that where it's not even to name doctors and nurses

Bills: SB38, SB17, SB41, SB264

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, gun control, firearm safety, dealer regulation, illegal trade, background checks, sexual crimes, statute of limitations

Summary: The Senate Judiciary Committee heard extensive testimony on House Bill 99, a proposed reform of the Medical Malpractice Act. Representative Chandler said the bill is intended to address physician shortages, rising malpractice premiums, and litigation pressures by changing punitive damages rules, including a higher standard of proof, a requirement that punitive damages not be pleaded in the initial complaint, and limits tied to the type of provider. Supporters, including physicians, business leaders, and some patients, said the bill would help retain doctors, improve access to care, and create more predictable liability exposure. Several supporters also said current malpractice conditions are driving doctors out of the state and harming rural access to services. Opponents argued the bill would reduce patient recovery, create unequal treatment based on insurance status through the bill-versus-paid provision, and raise constitutional concerns involving equal protection, collateral source rules, and separation of powers. They also criticized the bill for not addressing other drivers of malpractice, such as hospital practices, prior authorization, staffing, and background checks for out-of-state doctors. Some witnesses urged amendments to protect the Patient Compensation Fund, ensure future medical expenses are covered, require minimum surcharge settings, and improve oversight of providers entering the state. Committee members questioned the sponsor and witnesses about whether the bill would actually lower premiums, whether it would improve access to care, and how it would affect hospitals, independent providers, and the Patient Compensation Fund. The sponsor said the bill was based on negotiations and comparisons with other states, and that it should help premiums over time. Members raised concerns about the fund’s solvency, the role of hospitals in the fund, and whether some provisions would survive legal challenge. No final vote was taken in the portion of the meeting provided; the chair indicated amendments would be discussed later and the committee would continue the hearing the next day.

Bills: HB3011, HB3143, HB3144, HB3881, HB3519, HB3522, HB3530

Keywords: alcoholic beverages, personal use permit, manufacturing, excise tax, Oklahoma Alcoholic Beverage Control Act, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, alternative nicotine products, vaping, regulations, manufacturing standards, packaging requirements, penalties, Attorney General

Bills: HB3011, HB3143, HB3144, HB3881, HB3519, HB3522, HB3530

Keywords: alcoholic beverages, personal use permit, manufacturing, excise tax, Oklahoma Alcoholic Beverage Control Act, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, alternative nicotine products, vaping, regulations, manufacturing standards, packaging requirements, penalties, Attorney General

Summary: The committee considered several alcohol, marijuana, nicotine, and ABLE Commission bills. House Bill 3011 was amended to clarify that home beer brewing would not be taxed if the beer is not being sold, and then passed by recorded vote. House Bill 3143, extending the moratorium on marijuana licenses, and House Bill 3144, adding a cap to prevent a large number of licenses if the moratorium is lifted, both passed. House Bill 3881, creating a regulatory framework for alternative nicotine products including e-liquids and vape products, passed after a question clarified it does not apply to medical marijuana vapes. The committee also advanced House Bill 3519, which replaces the current bond requirement for abandoned grow sites with an annual $2,000 fee paid to OMMA, creates a revolving fund capped at $5 million for cleanup costs, and waives the fee after five consecutive years of ownership in the same name as the license. Members discussed how the fund would be used and whether it was protected from legislative sweeps. House Bill 3522, requested by the Restaurant Association, requires the ABLE Commission to report its disciplinary actions annually and passed unanimously. Finally, House Bill 3530, with a committee substitute adopted as the working draft, sets timelines for ABLE licensees to produce requested documents. It also passed by recorded vote. The meeting then adjourned.

Transcript Highlights:

• By way of brief background, currently travel insurance is regulated under the insurance commissioner's
• The commissioner's current rules regulating travel insurance say travel insurance is a limited line of
• I'm also here as co-chair of the United States Travel Insurance Association Law and Regulation Committee
• I was a regulator, by the way, in a former life for 13 years.
• In Virginia, I was a regulator for the industry.

Bills: HB2428, HB2399, HB2087

Keywords: life insurance, policy lapse, policy cancellation, nonpayment of premium, premium grace period, lapse notice, termination notice, third-party notice, third-party designee, beneficiary protection, consumer protection, insurance regulation, insurer notice requirements, policyholder, beneficiary, Washington RCW, insurance code, unintentional lapse, coverage continuation, premium delinquency

Summary: The committee held public hearings on three insurance bills. House Bill 2428 would require life insurers to send advance written notice before terminating an individual life insurance policy for nonpayment, including notice of the three-year reinstatement right, and would allow policyholders to designate a third party to receive lapse notices. The prime sponsor and the Office of the Insurance Commissioner said the bill is intended to prevent unintentional lapses, especially for older adults or people with cognitive decline. The life insurance industry supported the consumer goal but asked for a delayed implementation date and noted a need for a small technical amendment. House Bill 2399 would prohibit post-loss assignments of benefits in property insurance, making such agreements void and subject to enforcement by the Insurance Commissioner. The prime sponsor, the OIC, the Washington State Association for Justice, PEMCO, and the National Insurance Crime Bureau all testified in support, saying the practice can let contractors take over claim rights, create leverage for inflated claims, and leave homeowners without control over their own insurance claims after a loss. Members asked about steering by adjusters, whether homeowners could still authorize contractors or direct payment, and the size of the proposed $50,000 fine; witnesses said the bill does not bar direct payment to contractors or other lawful representation and that the penalty would go to the general fund. House Bill 2087 would enact the Washington Travel Insurance Act, largely based on the NAIC model, to regulate travel insurance sales, licensing, disclosures, and unfair trade practices. The sponsor and industry witnesses said the bill would expand consumer choices and standardize rules, while the OIC supported much of the framework but raised concerns about claim adjustment by unlicensed adjusters. The Attorney General’s Office asked for language clarifying that existing discrimination and consumer protection laws still apply. The committee then moved into work sessions on flood insurance, wildfire mitigation recommendations from a prior work group, and a feasibility study on a joint underwriting association for certain child care services, with staff and agency presentations outlining current market conditions and policy options.

Transcript Highlights:

• Tether gets to decide what's in this regulation and what isn't.
• Bank regulators have this authority. stablecoin regulators would not, and I think that's a mistake.
• It's not a framework to regulate the secondary market.
• to right-size regulations for community banks.
• ' risk profiles when formulating regulations.

Bills: SB875

Keywords: banking regulation, federal agencies, reputational risk, financial services, supervision, FIRM Act, bank supervision, depository institutions, federal banking agencies, FDIC, OCC, Federal Reserve, NCUA, CFPB, credit unions, Operation Choke Point, financial discrimination, safety and soundness, supervisory guidance, examination manual

Summary: This meeting focused on the markup of the Genius Act and the FIRM Act, two significant pieces of legislation addressing stablecoin regulation and the financial industry's regulatory framework. The Chairman noted the importance of providing clarity to the digital asset community and protecting American consumers, while also promoting innovation and competition within the financial sector. Members of both parties expressed varying viewpoints, with some highlighting concerns related to national security and the potential risks associated with stablecoins.

Transcript Highlights:

• Um, but do you currently regulate the amateur combat sports? >> Correct.
• </c> regulate the amateur combat sports? regulate the amateur combat sports?
• But in doing your work, again, you folks can make rules and regulations.
• Their right to spend in politics can't be regulated, and that's right.
• It doesn't regulate the rights. If it did, it would be a loser.

Bills: SB2045, SB2354

Keywords: combat sports, boxing, mixed martial arts, health regulations, safety standards, licensing, event regulation, 912, senate, all

Summary: The committees first took up SB 2071 on rent-to-own housing. Testimony was generally supportive from HHFDC and Hawaii Realtors, but Sierra Club of Hawaii and others opposed the bill unless it was amended to exclude ceded lands from the 99-year lease provision. Members discussed the scope of ceded versus non-ceded lands and whether an inventory exists. The committees ultimately recommended passage with amendments, including HHFDC’s proposal to make the fixed-price period flexible by tying it to an option period and Sierra Club’s language limiting the program to non-ceded state or county land. They then heard SB 2191 on limited profit housing associations. HHFDC supported the measure, while the Tax Foundation of Hawaii and the Office of the Auditor urged caution about tax exclusions and asked for clearer, more targeted limits and measurable outcomes. The committees adopted amendments to add a statement of purpose, include measurable metrics, apply the tax provisions to taxable years beginning after December 31, 2025, and delay the effective date to allow for administrative changes. SB 2191 was recommended for passage with amendments. The committees also considered SB 2197, which would have replaced the five-year fixed-price period in rent-to-own housing with an option period set by HHFDC, but deferred it indefinitely because its issues were addressed in SB 2071. SB 2180 on deposits of public funds drew comments from the Hawaii Bankers Association questioning definitions and noting banks are already subject to Community Reinvestment Act requirements; decision-making was deferred to the next day in the CPN committee and to a later date for the housing committee. Finally, SB 2210 on housing discrimination received support from disability advocates and the Hawaii Civil Rights Commission, which asked for one additional investigator; the committees passed it with amendments adding a blank appropriation for one full-time position and planned to notify Ways and Means for possible re-referral.

Transcript Highlights:

• . >> So for the USDA is uh um the state of Hawaii is being regulated by USDA right now, and they are
• that is being put forward in this bill. >> So for the USDA is uh um the state of Hawaii is being regulated
• We talk with them, and I think the first concern is this overlapping regulations and also added fees

Bills: SB2178

Keywords: industrial hemp, Hawaii, agriculture, sustainability, Native Hawaiian practices, regulation, cultural stewardship, economic development, 912, senate, all

Summary: The committee heard testimony on SP 2178, which would create an industrial hemp program in the Department of Agriculture and Biosecurity, establish an advisory board, support research through the University of Hawaii, and promote hemp-based materials and partnerships with Native Hawaiian practitioners and cooperatives. Testimony was generally supportive from industry, Native Hawaiian advocates, the Hawaii Farm Bureau, and the department, with supporters emphasizing economic opportunity, community-based development, and potential uses such as hempcrete and fiber products. The Department of Agriculture and Biosecurity also said it supported the intent, but its representative explained that the bill would require additional staffing and resources for education, monitoring, testing, and enforcement. Members raised concerns about overlapping regulation with USDA hemp licensing and the cost of new positions; the department estimated three additional positions at about $80,000 each and noted current federal licensing does not charge fees. The committee recommended passage with amendments, including removing state licensing requirements to avoid duplication with USDA authority, making technical changes, and blanking the appropriation amount for later consideration, and the recommendation was adopted unanimously. The committee also heard and later took action on several other measures. SB 2702, relating to Hawaiian Homes and an irrigation system inventory, drew support but was postponed for decision-making until February 5 so additional amendments could be prepared. SB 2785, relating to economic development, received mixed testimony but was recommended and adopted for passage without amendments. SB 2790, relating to the Department of Hawaiian Home Lands and the Mākai irrigation system, received strong support and was also passed unamended. SB 2314, relating to the Hawaiian language and the legal effect of Hawaiian versions of laws, drew support from the Hawaii Civil Rights Commission and others, while the Attorney General’s office raised concerns about the wording; the committee adopted amendments incorporating language from the judiciary, clarifying that English and Hawaiian are official languages and that priority goes to the version consistent with legislative intent when there is a material difference, and then passed the bill with amendments. All final votes reported were in favor, with no recorded opposition.

Transcript Highlights:

• We will open that facility on August 1st, allowing those PAs, OTs, PTs, CRNAs, and advanced nursing practitioners
• determine what fair market value standards are for the compensation for physicians because it's highly regulated

Bills: HB42, HB125

Keywords: special prosecutor, state law, criminal justice, accountability, law enforcement, stormwater management, counties, regulation, environment, water quality

Summary: The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending. Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending. The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending. Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.

Transcript Highlights:

• One of the things that's kind of weird is, as an industry that's being regulated by them, we're also

Bills: SB5816, SB5971

Keywords: juice grapes, agriculture, commerce, state regulation, market access, green fertilizer, low-carbon, sustainability, incentive program, 904, all

Summary: The committee heard public testimony on Senate Bill 5816, which would add juice grapes to Washington’s Agricultural Marketing and Fair Practices Act so grape producers could form an accredited association to negotiate with processors. Staff explained the bill’s negotiation timelines and a modest fiscal note. Senator Torres said the measure was intended to help juice grape growers obtain fairer prices, and the sole testifier, a third-generation grower, described large price gaps between Washington and New York, limited buyer options, and little ability to negotiate before harvest. The public hearing closed with 47 people signed in pro and one con. The committee then heard Senate Bill 5971, which would create a green fertilizer incentive program for low-carbon nitrogen fertilizer production and use in Washington. Staff described the bill’s 80 percent emissions-reduction standard, rulemaking timeline, and fiscal note. Senator Benke and supporters from the Tri-Cities, Atlas Agro, NRDC, labor, ports, and agricultural groups argued the program could reduce greenhouse gas emissions, stabilize fertilizer supply and prices, support jobs, and help Washington compete for federal clean hydrogen tax credits. WSDA said the bill was implementable with consultation and that the Climate Commitment Act could be a funding source, while noting rulemaking costs. Testimony also included support from the League of Women Voters, the Washington State Potato Commission, and a potato farmer. The public hearing closed with 202 pro, 737 con, and one other comment. The work session focused on commercial shellfish fee increases adopted by the Department of Health. The department explained that fees had not been raised for many years, that general fund support had declined, and that the new structure is intended to move toward full cost recovery in phases, with the first year set at 50 percent of the increase and further rulemaking underway to examine impacts on small businesses. Shellfish growers and industry representatives strongly opposed the increases, saying the fee calculations were confusing, the increases were extreme for small farms and processors, and the department had not fully implemented recommendations from the Green Economics report, including possible efficiencies and shifting biotoxin testing costs to the state. Several testified that the new fees could force closures, consolidation, or reduced operations. Committee members questioned the size of the increases, the fee methodology, and whether the legislature had contributed to the problem by relying on general fund backfill in prior years.

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:

• It defers temperature ranges to state and federal regulations.
• The Texas Nurses Association is opposed to the bill.
• The Texas Nurses Association has a standing position that nurses need to be familiar with the CDC guidelines
• I will tell you, I am not a nurse.
• I am not a nurse.

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:

• Now, we staff with one nurse on call.
• about $75 an hour, and I'm still unable to recruit nurses.
• Do you have more nurse practitioners than physicians?
• Is it, do you have more nurse practitioners than physicians?
• to offset the care of those placed in nursing homes as well.

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:

• regulate fluoroscopy and X-ray for advanced practice registered nurses.
• regulate fluoroscopy and X-ray for advanced practice registered nurses.
• regulate fluoroscopy and X-ray for advanced practice registered nurses.
• regulate fluoroscopy and X-ray for advanced practice registered nurses.
• regulate fluoroscopy and X-ray for advanced practice registered nurses.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• Including independent living, assisted living, and skilled nursing.
• The statute regulating CCRCs is over 30 years old and has not kept pace with the current trends in the
• home or skilled nursing services at each location.
• Other entities to ensure that residents receive skilled nursing should they need it.
• By them not being licensed and not regulated, there's no oversight over them.

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

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

Keywords: cremation, natural organic reduction, health and safety, environmental concerns, funeral services, medical licensing, physician graduates, healthcare access, occupational licensing, foreign medical graduates, cell-cultured protein, food safety, human consumption, agriculture, food labeling, healthcare workforce, advisory board, Texas Workforce Commission, resource guide, education collaboration