Transcript Highlights:

• seeks to put the consumer more front and center in the process whereby referral agencies for long-term
• We've worked with the long-term care community.
• And we need a long-term care and assisted living facility that is viable.
• And we feel like the long-term care facilities are in agreement, The long-term care facilities are in
• This bill simply clarifies what is in statute for long-term, or excuse me, for assisted living centers

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• For follow-up, what is required when you use the term medical pregnancy center?
• Since typically serum or syria is described as a blood product, why don't we just take that term completely
• out and define what they can... ...don't we just take that term completely out and define what they
• going to be fixed, honestly, when we came in, I talked to members that we came in with that were terming

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• And what the Pope has done in terms of trying to unite people in our communities has really been outstanding
• Almost, I don't know what it is today, but in my last term, the copper mine in Grant County was generating
• Stable oil and gas policy encourages long-term investment, protects revenue forecasts, and reduces boom-bust
• Do they have to be in the state practicing for any length of time, or can they do telehealth?
• Excuse me, for any length of time, or can they do telehealth five days a week for us?

Bills: HM3, HM11, HM14, HM15, HM18, HM21, HB10, HB11, HB12, HB13, HB14, HB31, HB50

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Transcript Highlights:

• But when we know that we're dealing with DEI discrimination issues in terms of private causes of effective
• law, which are... across the board to all entities under sunset review and updates board members' terms
• It codifies the current practice of having the Board of Managers serve staggered four-year terms, aligning
• Hospital District to lease all or part of its property, including hospital buildings and facilities, for terms
• the formal dissolution process of that MUD, including administrative steps, expiration of directors' terms

Bills: HB148, HB334, HB554, HB762, HB1520, HB1593, HB3526, HB3810, HB5092, SB2215, HB2607, HB148

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, HB 554, fireworks, Juneteenth, Juneteenth holiday, retail fireworks permit, Texas Occupations Code, Local Government Code, county commissioners court, drought conditions, Texas A&M Forest Service, fire safety, holiday sales

Bills: HB148, HB148, HB334, HB554, HB762, HB1520, HB1593, HB3526, HB3810, HB5092, SB2215, HB2607

Keywords: HB 148, Texas Education Code, Texas Education Agency, TEA, artificial intelligence, AI, machine learning, automated scoring, constructed response, open-ended answers, student assessments, state testing, standardized tests, public schools, education policy, assessment instruments, school accountability, test scoring, 2026-2027 school year, family leave

Transcript Highlights:

• Efficacy in the short term does not negate the need for rigorous scrutiny of long-term consequences.
• There's also a tremendous lack of long-term safety data, which we've learned in the past is critically
• an elderly lady who got a COVID shot, which is modified RNA, a new technology that we have no long-term
• why should any state allow the use of gene-editing products, especially in children, without long-term
• Modified RNA is not only a delivery system; it’s a new man-made, synthetically introduced [term unclear

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:

• Noble, relates to training required or offered by the Health and Human Services Commission for long-term
• It addresses unnecessary, outdated training placed on long-term care facility surveyors.
• instability by creating financial tools, technical assistance, and education programs that support long-term
• uninsured, and a rural hospital support grant to help hospitals continue operations and build long-term
• Madam Chair, if there's an issue about the unverified kinship care, we can clear that up in terms of

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:

• creates a mandate for a very large generator equipment, which this committee has already discussed at length

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:

• creates a mandate for very large generator equipment, which this committee has already discussed at length

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

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:

• Rehabilitation facilities, unlike long-term care facilities, do not have access to the state's long-term
• We just need the term licensed beds in the bill. That's really it, and we have that.
• Next, Alexa Showman, the office of the State Long-Term Care.
• I am the Deputy State Long-Term Care Ombudsman.
• Think about it in terms of three buckets.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

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:

• as SSCCs are meeting the state standards and in compliance with DFPS policies, state law, and the terms
• with an enforcement mechanism to ensure contractors comply with the department's requirements and the term
• sort of deal with the transition and make sure that they're really dealing with their own caseload in terms
• Oh yeah, it was 3 terms I took off from this committee.
• Is that a broad enough term to, um, you know, what if the person's not a client, but it was in the scope

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

Transcript Highlights:

• known as SMCs, are able to meet the state standards and comply with DFPS policies and state law. the terms
• to sort of deal with the transition and ensure that they're really managing their own caseload in terms
• amount of time to successfully transition workload responsibilities, case information, and contract terms
• It was those three terms I took off from this committee.
• So, I just want to make sure since it's by a client, is that a broad enough term?

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

Transcript Highlights:

• We believe that for someone who has a long-term disability, has been on SSI for years and years, they
• services. supports, and in terms of an intentional gap in coverage that could potentially jeopardize
• medical care and health, as Medicaid is typically the only insurance coverage for long-term services
• It is not your intention to... kick off people that have long-term disabilities, as I understand it.
• And do you have those people flagged in your system as long-term recipients?

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

Transcript Highlights:

• In terms of the research and in terms of your experience, my understanding is if you do the test trial
• There are no long-term studies regarding whether these products are safe for humans and what the long-term
• What are the long-term impacts? We don't know. We really don't.
• This is not a situation where we have long-term studies or long-term tests.
• This is not where you have long-term studies or long-term tests like a drug type of trial that is requested

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.

Bills: SJR 12, SCR 39, SB 27, SB 29, SB 241, SB 406, SB 414, SB 464, SB 568, SB 578, SB 609, SB 660, SB 689, SB 693, SB 785, SB 857, SB 879, SB 921, SB 922, SB 955, SB 985, SB 993, SB 996, SB 1008, SB 1035, SB 1036, SB 1059, SB 1098, SB 1120, SB 1122, SB 1147, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1537, SB 1596, SB 1610, SB 1664, SB 1741, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2188, SB 2230, SB 2406, SB 2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, business organization, internal management, corporate governance, partnerships, liability reduction, public camping, homelessness, local governance, enforcement, state authority, local entity, complaints, housing, public safety, birth certificate

Transcript Highlights:

• hospice program, I'm online 18, and we're asking that these employees, I think, assist in some way in terms
• Identification for who's renting a short-term rental and who's actually showing up.
• They are seeing some discrepancies, and we're seeing an uptick in short-term rentals being used for drug
• And so, I understand, and maybe I and I'm certain that my colleague knows the term, but I think that
• special law is a a term of art where you provide a specific benefit to one identified organization.

Bills: SCR17, SB2104, SB2155, SB1428, SB1250, SB1651, SB1794, SB444, SB1061, SB1327, SB1425, SB1455, SB1458, SB1460, SB1480, SB1530, SB1543, SB1555, SB1593, SB1209, SB1730, SB1733, SB1769, SB1805, SB2069, SB2095, SB1503

Keywords: trusts, Oklahoma Uniform Trust Code, trust administration, trustee, beneficiary, qualified beneficiary, nonjudicial settlement agreement, trust accounting, fiduciary duty, forfeiture clause, no-contest clause, in terrorem clause, certification of trust, trust property, district court jurisdiction, venue, surcharge trustee, trust protector, trust advisor, principal distribution

Transcript Highlights:

• I'm not sure how you're using the term 'graphic,' but the question that was asked is not necessarily

Bills: SCR17, SB2104, SB2155, SB1428, SB1250, SB1651, SB1794, SB444, SB1061, SB1327, SB1425, SB1455, SB1458, SB1460, SB1480, SB1530, SB1543, SB1555, SB1593, SB1209, SB1730, SB1733, SB1769, SB1805, SB2069, SB2095, SB1503

Keywords: trusts, Oklahoma Uniform Trust Code, trust administration, trustee, beneficiary, qualified beneficiary, nonjudicial settlement agreement, trust accounting, fiduciary duty, forfeiture clause, no-contest clause, in terrorem clause, certification of trust, trust property, district court jurisdiction, venue, surcharge trustee, trust protector, trust advisor, principal distribution

Transcript Highlights:

• I felt like the reason why I didn't consider that is because what you do in terms of like getting a certification
• I felt like the reason why I didn't consider that is because what you do in terms of like getting a certification
• I felt like the reason why I didn't consider that is because what you do in terms of like getting a certification
• I felt like the reason why I didn't consider that is because what you do in terms of like getting a certification
• I felt like the reason why I didn't consider that is because what you do in terms of like getting a certification

Bills: HB426, SB24, SB106, SB254, HB505, HB458, HB535, HB509, HB320, HB518, HB261, HB426, SB24, SB106, SB254, HB505, HB458, HB535, HB509, HB320, HB518, HB261, SB316, HB228, SB318, SB260, HB132, HB347, HB405, HB86, HB263, HB302, SB336

Keywords: Alabama Ad Valorem Advisory Committee, ad valorem taxes, property tax, real property, personal property, tax assessment, tax collection, county tax officials, Department of Revenue, Commissioner of Revenue, taxpayer representation, resident taxpayers, local government, property tax administration, Association of Alabama Tax Administrators, tax policy, advisory committee, public input, governance reform, body-worn camera

Bills: HB3057, HB3130, HB4113, HB3310, HB3314, HB3985, HB4486, HB3040, HB3407, HB4343, HB2981, HB3764, HB3765, HB3767, HB3982, HB3321, HB3322, HB3323, HB4126, HB4130, HB4170, HB3345, HB2941, HB3062, HB3244, HB3298, HB2977, HB3304, HB3299, HB3297, HB4260, HB3906, HB3648, HB3319, HB2933, HB3544, HB1322, HB4104, HB4105, HB4106, HB4107, HB4108, HB3974, HB3134, HB3055, HB3115, HB3471, HB3497, HB3500, HB3505, HB3755, HB4202, HB4226, HB4236, HB4139, HB4144, HB4422, HB4423, HB4317, HB4321, HB4322, HB3176, HB3239, HB3263, HB3673, HB3794, HB3796, HB4265, HB4266, HB2123, HB3048, HB2445

Keywords: government reporting, information technology, child welfare, environmental policy, state agency compliance, gender transition, minors, health services, punitive damages, parental rights, health care providers, voter registration, voter eligibility, felony disenfranchisement, restoration of voting rights, formerly incarcerated, reentry, parole, probation, supervision

Transcript Highlights:

• And my goodness, we've served together, Deputy Chief, almost two full terms.
• It goes into grants that we provide to communities to upgrade what they're doing in terms of wellness
• These are real long-term investments, not one-time dollars, to ensure that our schools have the tools
• I don't know if twelve-year term limits are too long or too short, but I can tell you that 9 years is
• My question is in regards to the length of time.

Bills: SB1287, SB1983, SB1796, SB1806, SB1558, SB2135, SB483, SB1198, SB1265, SB2154, SB2139, SB1552, SB2118, SB1775, SB259, SB1344, SB1380, SB2007, SB1572, SB2074, SB1423, SB1425, SB1502, SB1503, SB1833, SB1561, SB1555, SB2044, SB1749, SB904, SB1565, SB1500, SB667, SB1484, SB1562, SB1644, HR1045, SB227, SB1627, SB1475, SB1966, SB2049, SB1531, SB80, SB1734, SB1630, SB1894, SB1975, SB1432, SB1437, SB1812, SB346, SB710, SB1489, SB1614, SB2045, SB1250, SB1304, SB1501, SB1946, SB592, SB65, SB1257, SB444, SB640, SB2178, SB1242, SB1642

Keywords: abstraction, licensing, Oklahoma Abstractors Board, criminal background, good moral character, SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions